Average Medicaid Substance Abuse Treatment Payments in Pawtucket, RI: $40.18
Avg. Paid
$40.18
Range
$0.00 – $91.56
Total Claims
393,238
Providers
15
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 Pawtucket, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Addiction Recovery Institute
31 N Union St |
$39.29 | 250,843 | 31,590 |
|
Fredy P Roland
333 School St |
$27.35 | 84,242 | 7,086 |
|
Center For Treatment And Recovery
82 Pond Street |
$77.39 | 27,198 | 6,617 |
|
Bhg Lvii, Llc
82 Pond St |
$91.56 | 10,144 | 2,206 |
|
Pawtucket School Department
286 Main St |
$17.87 | 9,245 | 4,310 |
|
Gateway Healthcare Inc
101-103 Bacon St |
$0.00 | 3,675 | 2,102 |
|
Codac Inc
600 Pawtucket Ave |
$36.88 | 2,764 | 580 |
|
Jeffrey Scott Derouin
82 Pond St |
$74.93 | 2,210 | 543 |
|
Renee Gribbin
31 N Union St |
$62.90 | 1,792 | 1,155 |
|
Kathleen Ann Chase
103 Bacon St |
$22.16 | 481 | 229 |
|
Robin N. Pierce-Pacheco
31 North Union Street |
$79.54 | 437 | 354 |
|
Tami Rene Jarvis
183 Barton St |
$87.92 | 127 | 73 |
|
Rebecca Jean-Mee Savi
242 Dexter St |
$74.60 | 44 | 14 |
|
Erin Nole Rock
700 Narragansett Park Dr Ste 100 |
$31.64 | 24 | 24 |
|
The Arc Of Balckstone Valley
115 Manton St |
$55.69 | 12 | 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 Pawtucket, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Pawtucket, RI is $40.18 per claim, based on 393,238 claims from 15 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 Pawtucket, RI?
There are 15 Medicaid providers offering Substance Abuse Treatment related services in Pawtucket, RI according to public payment data.
What is the price range for Substance Abuse Treatment in Pawtucket, RI?
Medicaid reimbursement for Substance Abuse Treatment in Pawtucket, RI ranges from $0.00 to $91.56 per claim, with an average of $40.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
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Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Avg $21.52
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Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Pawtucket, RI
Personal Care Services
Avg $87.82
876,711 claims
Physical Therapy
Avg $42.03
419,253 claims
Office Visit
Avg $58.11
389,301 claims
Behavioral & Mental Health Therapy
Avg $147.50
354,418 claims
Ambulance Transport
Avg $51.61
174,800 claims
Dental Cleaning & Exam
Avg $27.50
171,073 claims
Psychiatric Evaluation
Avg $69.48
108,093 claims
Case Management Services
Avg $37.47
97,241 claims