Average Medicaid Substance Abuse Treatment Payments in Madawaska, ME: $74.24
Avg. Paid
$74.24
Range
$49.28 – $92.66
Total Claims
12,570
Providers
9
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 Madawaska, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle J Berube
272 Main St |
$87.58 | 28 | 12 |
|
Heather A Berce
88 Fox St |
$71.98 | 218 | 116 |
|
Sara Louise Desrosier
112 11Th Ave |
$49.28 | 298 | 60 |
|
Michael J Peret
309 Saint Thomas St Ste 213 |
$87.89 | 359 | 172 |
|
Maleka Michaud
305 Main St |
$92.66 | 457 | 173 |
|
Stacie A Murphy
88 Fox St |
$88.24 | 625 | 208 |
|
Brittney Short
88 Fox St Ste 101 |
$55.54 | 1,362 | 662 |
|
Kayla Cl Michaud
88 Fox St |
$58.27 | 2,676 | 931 |
|
Lori A Martin
272 Main Street Suite 103 |
$82.44 | 6,547 | 2,349 |
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 Madawaska, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Madawaska, ME is $74.24 per claim, based on 12,570 claims from 9 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 Madawaska, ME?
There are 9 Medicaid providers offering Substance Abuse Treatment related services in Madawaska, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Madawaska, ME?
Medicaid reimbursement for Substance Abuse Treatment in Madawaska, ME ranges from $49.28 to $92.66 per claim, with an average of $74.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Madawaska, ME
Office Visit
Avg $12.95
25,546 claims
Psychiatric Evaluation
Avg $7.94
20,904 claims
Chiropractic Care
Avg $16.57
5,429 claims
Physical Therapy
Avg $18.79
4,839 claims
Ambulance Transport
Avg $120.34
3,968 claims
Dental Cleaning & Exam
Avg $0.32
3,937 claims
Eye Exam
Avg $1.53
3,416 claims
Nursing Facility Care
Avg $17.51
2,700 claims