Average Medicaid Substance Abuse Treatment Payments in Farmington, ME: $87.78
Avg. Paid
$87.78
Range
$47.75 – $135.81
Total Claims
20,214
Providers
20
Typical Payment Range
Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.
Based on per-provider averages across all Medicaid claims in this category.
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Substance Abuse Treatment in Farmington, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sheila Hoyt
131 Franklin Health Commons |
$47.75 | 41 | 24 |
|
Carol S Despres
144 High St Ste 1 |
$66.94 | 71 | 28 |
|
Dalene Elizabeth Sinskie
124 Main St Ste 202 |
$65.74 | 87 | 38 |
|
Kate Kelley
186 Main St Ste 2 |
$56.80 | 141 | 49 |
|
Julia Davis
131 Franklin Health Cmns |
$63.86 | 296 | 114 |
|
Cary Rae Millbury
181 Franklin Health Cmns |
$92.85 | 321 | 102 |
|
Carmela Thompson
148 Adams Cir |
$135.81 | 329 | 95 |
|
Rya S Baird
114 Prescott St |
$76.94 | 388 | 152 |
|
Karen Compton
144 High St |
$74.21 | 480 | 200 |
|
James Frederick Smith
144 High St |
$80.13 | 485 | 172 |
|
Danielle R Hansen
131 Franklin Health Cmns |
$81.99 | 504 | 171 |
|
Mary Small
176 Livermore Falls Rd |
$73.16 | 537 | 240 |
|
Jackie K Sondrol
144 High St |
$85.40 | 813 | 323 |
|
Kathleen M Danforth
131 Franklin Health Commons |
$86.03 | 995 | 426 |
|
Ryan G Pelton
181 Franklin Health Commons |
$73.86 | 1,776 | 648 |
|
Michelle Larrivee
144 High St |
$72.51 | 1,983 | 577 |
|
Walt S. Whitman
144 High St Ste 1 |
$82.25 | 2,373 | 805 |
|
Andrea Bradford
131 Franklin Health Cmns |
$119.95 | 2,562 | 791 |
|
Amy S Davis
181 Franklin Health Cmns |
$87.93 | 2,600 | 933 |
|
Angela M Thompson
144 High Street |
$91.65 | 3,432 | 1,158 |
What to Expect: Substance Abuse Treatment
Substance abuse treatment varies widely based on the program. Outpatient treatment involves regular counseling sessions and may include medication-assisted treatment (like Suboxone or methadone). Intensive outpatient programs (IOP) involve 9-20 hours per week of structured treatment. Individual counseling, group therapy, and peer support are common components.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | $20.02 | 312,323,784 | 3,904 |
| H0004 | Alcohol and/or drug services | $89.45 | 73,272,784 | 23,966 |
| H0038 | Self-help/peer svc per 15min | $102.60 | 30,385,812 | 7,670 |
| H0015 | Alcohol and/or drug services | $152.04 | 25,053,675 | 9,061 |
| H0005 | Alcohol and/or drug services | $53.46 | 23,222,742 | 9,936 |
| H2036 | A/d tx program, per diem | $258.14 | 18,209,988 | 1,399 |
| H0023 | Alcohol and/or drug outreach | $129.61 | 9,489,348 | 1,230 |
| H2035 | A/d tx program, per hour | $133.88 | 8,557,719 | 772 |
| H0006 | Alcohol and/or drug services | $58.37 | 8,299,938 | 8,185 |
| H0025 | Alcohol and/or drug preventi | $59.91 | 4,103,530 | 1,218 |
| H0010 | Alcohol and/or drug services | $422.31 | 3,875,371 | 395 |
| H0001 | Alcohol and/or drug assess | $82.04 | 3,265,107 | 5,031 |
| H0002 | Alcohol and/or drug screenin | $50.82 | 3,220,721 | 4,504 |
| H0049 | Alcohol/drug screening | $6.25 | 2,594,750 | 4,239 |
| H0022 | Alcohol and/or drug interven | $34.60 | 942,099 | 951 |
| T1012 | Alcohol/substance abuse skil | $61.60 | 820,776 | 236 |
| H0014 | Alcohol and/or drug services | $206.17 | 618,111 | 786 |
| H0012 | Alcohol and/or drug services | $266.77 | 587,849 | 172 |
| H0050 | Alcohol/drug service 15 min | $39.26 | 340,958 | 472 |
| H0007 | Alcohol and/or drug services | $261.94 | 101,784 | 110 |
| T1006 | Family/couple counseling | $172.57 | 38,563 | 50 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Substance Abuse Treatment cost in Farmington, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Farmington, ME is $87.78 per claim, based on 20,214 claims from 20 providers. Typical payments fall between $34.14 and $105.27. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Substance Abuse Treatment in Farmington, ME?
There are 20 Medicaid providers offering Substance Abuse Treatment related services in Farmington, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Farmington, ME?
Medicaid reimbursement for Substance Abuse Treatment in Farmington, ME ranges from $47.75 to $135.81 per claim, with an average of $87.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Farmington, ME
Blood Work & Lab Tests
Avg $3.05
217,045 claims
Office Visit
Avg $44.68
124,104 claims
Emergency Room Visit
Avg $126.23
75,794 claims
Physical Therapy
Avg $25.47
54,647 claims
Vaccines & Immunizations
Avg $4.26
44,199 claims
Ambulance Transport
Avg $123.97
39,493 claims
Urinalysis & Urine Tests
Avg $1.53
35,188 claims
X-Ray
Avg $24.82
26,251 claims