Average Medicaid Substance Abuse Treatment Payments in Gorham, ME: $88.58
Avg. Paid
$88.58
Range
$44.20 – $187.99
Total Claims
10,109
Providers
18
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 Gorham, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kari Wagner
10 Mallison St |
$92.44 | 1,946 | 428 |
|
Alana Bickford
49 Tink Dr |
$118.12 | 1,437 | 449 |
|
Marissa Ritz
7 Railroad Ave Ste 317 |
$69.87 | 1,417 | 462 |
|
Jamie L Racine
28 State St Ste 5 |
$91.22 | 1,297 | 529 |
|
Denise Merrill
28 State St Ste 5 |
$75.46 | 859 | 280 |
|
Jessica Marie-Mcelravy Welch
12 Elm St Ste 3 |
$77.38 | 501 | 176 |
|
Luke P House
8 Teran St |
$84.35 | 484 | 124 |
|
Melanie Sosinski Brown
510 Main St Ofc 206 |
$75.90 | 434 | 139 |
|
Melanie Grace Mauro
510 Main St |
$75.80 | 365 | 112 |
|
Justin Brown
510 Main St. Gorham, Me 04038 |
$80.71 | 315 | 100 |
|
Matthew Steinback
341 Main St |
$187.99 | 277 | 29 |
|
Abby M Beaumont
5 Gerrys Way |
$61.33 | 255 | 99 |
|
Karalyn Ethel Corbett
212 Sebago Lake Rd |
$61.99 | 169 | 40 |
|
Heather Jean Pollard
510 Main St # 11 |
$49.40 | 144 | 52 |
|
Nathan Hollen
55 Newell St |
$77.50 | 80 | 26 |
|
Nicole Pietrini Richman
88 State St Ste 203 |
$44.47 | 74 | 37 |
|
Rebecca Paschal
510 Main St |
$74.55 | 29 | 15 |
|
Regina P Marsters
53 County Rd |
$44.20 | 26 | 12 |
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 Gorham, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Gorham, ME is $88.58 per claim, based on 10,109 claims from 18 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 Gorham, ME?
There are 18 Medicaid providers offering Substance Abuse Treatment related services in Gorham, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Gorham, ME?
Medicaid reimbursement for Substance Abuse Treatment in Gorham, ME ranges from $44.20 to $187.99 per claim, with an average of $88.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gorham, ME
Home Health Visit
Avg $111.60
104,767 claims
Physical Therapy
Avg $18.64
18,641 claims
Office Visit
Avg $38.92
14,841 claims
Ambulance Transport
Avg $116.19
5,162 claims
Speech Therapy
Avg $40.48
4,438 claims
Eye Exam
Avg $27.83
2,363 claims
Blood Work & Lab Tests
Avg $2.52
1,127 claims
Dental Cleaning & Exam
Avg $32.30
903 claims