Average Medicaid Substance Abuse Treatment Payments in Gray, ME: $98.85
Avg. Paid
$98.85
Range
$53.94 – $153.72
Total Claims
26,944
Providers
12
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 Gray, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Helen Elaine Richardson
67 Shaker Rd |
$87.48 | 10,286 | 2,456 |
|
Jeffrey Robert Duquette
67 Shaker Rd |
$153.72 | 3,833 | 979 |
|
Amanda Dibiase
67 Shaker Rd |
$93.75 | 2,484 | 690 |
|
Arsenio Santamaria
26 Main |
$84.02 | 2,300 | 673 |
|
Lawrence Leeman
67 Shaker Rd |
$101.21 | 1,951 | 605 |
|
Kathryn Auguste Mitchell
306 Shaker Rd |
$81.54 | 1,846 | 676 |
|
Sandra J Hinckley
67 Shaker Rd Ste 7 |
$81.50 | 1,375 | 414 |
|
Asa Woodman
306 Shaker Rd |
$91.99 | 988 | 310 |
|
Rebecka Lynn Hendry
16 Shaker Rd |
$81.34 | 700 | 238 |
|
Brett Adam Robertshaw
26 Main Street |
$149.26 | 654 | 220 |
|
Rebecca Reid Brainerd
16 Verrill Rd |
$96.57 | 340 | 125 |
|
Olivia Testa
306 Shaker Rd |
$53.94 | 187 | 70 |
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 Gray, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Gray, ME is $98.85 per claim, based on 26,944 claims from 12 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 Gray, ME?
There are 12 Medicaid providers offering Substance Abuse Treatment related services in Gray, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Gray, ME?
Medicaid reimbursement for Substance Abuse Treatment in Gray, ME ranges from $53.94 to $153.72 per claim, with an average of $98.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $34.24
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Other Procedures in Gray, ME
Office Visit
Avg $41.92
10,350 claims
Speech Therapy
Avg $28.49
3,401 claims
Physical Therapy
Avg $31.64
2,961 claims
Case Management Services
Avg $104.77
1,523 claims
Ambulance Transport
Avg $130.58
1,285 claims
Chiropractic Care
Avg $24.54
476 claims
Psychiatric Evaluation
Avg $77.09
173 claims
Emergency Room Visit
Avg $33.81
154 claims