Average Medicaid Substance Abuse Treatment Payments in Houlton, ME: $81.62
Avg. Paid
$81.62
Range
$45.98 – $113.67
Total Claims
34,558
Providers
19
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 Houlton, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paula B. Cyr
2 High St |
$81.52 | 8,938 | 3,248 |
|
Leslie Peters Sadler
2 Water St |
$81.26 | 6,948 | 2,370 |
|
Carol E Westerdahl
52 Main St |
$88.85 | 4,901 | 1,402 |
|
Angela M Burlock
144 Military St Ste 3 |
$73.11 | 3,600 | 1,437 |
|
Lori Lynne Jewell
2 Water St |
$95.13 | 1,844 | 723 |
|
Anna M Mcfarland
11 Mill St |
$65.87 | 1,394 | 598 |
|
Melissa Jean Ivey
40 Market Square |
$78.06 | 1,364 | 394 |
|
Mark A Nelson
11 Mill St |
$63.28 | 948 | 483 |
|
Jolynn Marie Nadeau
23 Court St Ste 2 |
$113.67 | 770 | 232 |
|
Stacey Annette Price
2 Water St Ste 2 |
$71.57 | 682 | 303 |
|
Bethany Lynn Whitney
11 Mill St |
$81.03 | 672 | 299 |
|
Lois M Flewelling
144 Military St |
$85.36 | 631 | 310 |
|
Theresa Flannery-Blachura
11 Mill St |
$75.82 | 623 | 289 |
|
Karl Philip Jurson
18 High St |
$94.58 | 584 | 480 |
|
Kimberly A Long
11 Mill St |
$77.06 | 301 | 140 |
|
Nicole Henderson
11 Mill St |
$45.98 | 175 | 115 |
|
Melissa Sue Flewelling
23 Court St Ste 2 |
$97.20 | 125 | 54 |
|
Amy Hocking
102 High St |
$73.72 | 39 | 13 |
|
David Goodrich
11 Mill St |
$81.61 | 19 | 13 |
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 Houlton, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Houlton, ME is $81.62 per claim, based on 34,558 claims from 19 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 Houlton, ME?
There are 19 Medicaid providers offering Substance Abuse Treatment related services in Houlton, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Houlton, ME?
Medicaid reimbursement for Substance Abuse Treatment in Houlton, ME ranges from $45.98 to $113.67 per claim, with an average of $81.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Houlton, ME
Office Visit
Avg $12.54
150,990 claims
Blood Work & Lab Tests
Avg $1.26
137,406 claims
Case Management Services
Avg $51.15
81,567 claims
Emergency Room Visit
Avg $18.25
69,403 claims
X-Ray
Avg $8.87
31,725 claims
Urinalysis & Urine Tests
Avg $0.48
27,969 claims
Chiropractic Care
Avg $7.14
19,411 claims
EKG / ECG (Electrocardiogram)
Avg $7.29
17,003 claims