Average Medicaid Substance Abuse Treatment Payments in Lowell, MA: $47.44
Avg. Paid
$47.44
Range
$6.05 – $492.31
Total Claims
105,403
Providers
39
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 Lowell, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beth Lindsay
73 E Merrimack St |
$52.16 | 29,704 | 1,205 |
|
Melissa Lynn Koncar
77 E Merrimack St Ste 1 |
$58.73 | 13,222 | 2,865 |
|
Lowell House, Inc.
101 Jackson St |
$120.80 | 6,247 | 986 |
|
Wayne Edward Pasanen
295 Varnum Ave |
$10.26 | 5,975 | 264 |
|
Amy Margret Lessieur
650 Suffolk |
$36.60 | 5,481 | 1,986 |
|
Jose Rafael Abreu
650 Suffolk St |
$31.56 | 4,099 | 1,618 |
|
Beth Just
22 Old Canal Dr |
$33.70 | 3,948 | 1,378 |
|
Dereck Ceurvels
22 Old Canal Dr |
$33.48 | 3,666 | 1,332 |
|
Elisa A. Jacome
77 E Merrimack St |
$57.10 | 3,271 | 129 |
|
Robert Bishop
22 Old Canal Dr |
$33.35 | 3,046 | 1,207 |
|
Shorta Yuasa
295 Varnum Ave |
$9.78 | 3,014 | 143 |
|
Rebecca Flynn
22 Old Canal Dr |
$37.30 | 3,010 | 1,381 |
|
Jose A Dominguez
22 Old Canal Dr |
$32.71 | 2,893 | 1,170 |
|
Michael Gorman
22 Old Canal Dr |
$32.91 | 2,870 | 981 |
|
Meghan Melissa Mccarthy
650 Suffolk St |
$33.37 | 2,576 | 1,085 |
|
Shana Daykin
22 Old Canal Dr |
$36.50 | 2,136 | 743 |
|
Michelle Betts
22 Old Canal Dr |
$34.51 | 1,692 | 639 |
|
Anita B Harris
22 Old Canal Dr |
$32.31 | 1,544 | 727 |
|
Bryan C Plumb
650 Suffolk St |
$32.28 | 1,280 | 757 |
|
Tracy Heathcote-Sweatt
15 Lawrence Dr |
$37.41 | 1,023 | 462 |
|
Sarah Cashman
144 Merrimack St Ste 302 |
$34.22 | 809 | 315 |
|
Carmen Cintron
77 E Merrimack St |
$35.10 | 675 | 193 |
|
Christina Norman
171 Virginia Ave |
$31.33 | 625 | 311 |
|
Ginta Bistras
22 Old Canal Dr |
$32.98 | 576 | 254 |
|
Connor Stuart
101 Jackson St |
$98.65 | 560 | 63 |
|
Shaylene Wallace-Borden
144 Merrimack St |
$84.94 | 388 | 141 |
|
Hugo Anthony Dominguez
101 Jackson St Fl 4 |
$78.59 | 284 | 88 |
|
Katherine Mary Goodwin
22 Old Canal Dr |
$34.26 | 160 | 77 |
|
Seema Gupta
12 Wood St |
$492.31 | 99 | 18 |
|
Philip Hyde
555 Merrimack St |
$39.71 | 99 | 48 |
|
Jennifer Magowan
22 Old Canal Dr |
$51.94 | 91 | 53 |
|
Yamileh Dure
35 Market St |
$70.56 | 80 | 61 |
|
Elena Pineau
555 Merrimack St |
$129.90 | 68 | 12 |
|
Robert Carl Sampson
21 George St Ste 1 |
$313.62 | 65 | 37 |
|
Jasmine Quinones
22 Old Canal Dr |
$6.05 | 34 | 25 |
|
Dianne Canada Freunscht
650 Suffolk St |
$27.41 | 31 | 12 |
|
Lindsey Burgess
22 Old Canal Dr |
$32.32 | 25 | 13 |
|
Charlene Areche
22 Old Canal Dr |
$29.30 | 19 | 18 |
|
Tianna Lynn Guerra
22 Old Canal Dr |
$66.61 | 18 | 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 Lowell, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Lowell, MA is $47.44 per claim, based on 105,403 claims from 39 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 Lowell, MA?
There are 39 Medicaid providers offering Substance Abuse Treatment related services in Lowell, MA according to public payment data.
What is the price range for Substance Abuse Treatment in Lowell, MA?
Medicaid reimbursement for Substance Abuse Treatment in Lowell, MA ranges from $6.05 to $492.31 per claim, with an average of $47.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Lowell, MA
Blood Work & Lab Tests
Avg $9.11
779,592 claims
Office Visit
Avg $51.92
557,559 claims
Non-Emergency Medical Transportation
Avg $23.07
439,248 claims
Psychiatric Evaluation
Avg $72.86
380,689 claims
Ambulance Transport
Avg $82.10
359,826 claims
Dental Cleaning & Exam
Avg $39.02
354,994 claims
Emergency Room Visit
Avg $141.93
292,245 claims
Home Health Visit
Avg $29.93
225,240 claims