Average Medicaid Substance Abuse Treatment Payments in Pittsfield, MA: $131.70
Avg. Paid
$131.70
Range
$0.00 – $617.27
Total Claims
211,387
Providers
23
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 Pittsfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Megan Tillinghast
359 Fenn St |
$54.34 | 14 | 13 |
|
Chad W. Foster
390 Merrill Rd |
$81.77 | 35 | 30 |
|
Daniel Cuevas
390 Merrill Rd |
$45.91 | 37 | 29 |
|
Janice Pride-Boone
777 North Street |
$0.00 | 59 | 59 |
|
Raquel Lee
390 Merrill Rd |
$46.09 | 60 | 53 |
|
Samantha Alibrando
333 East St |
$0.00 | 65 | 31 |
|
Sharon L Maxwell
1 Fenn St |
$0.00 | 101 | 71 |
|
Rebecca Polastri
1 Fenn Street |
$76.65 | 110 | 65 |
|
Candace Mahony
359 Fenn St |
$0.00 | 225 | 88 |
|
Anthony J Race
333 East St |
$0.00 | 268 | 121 |
|
Jennifer Metcalf
359 Fenn St |
$57.12 | 308 | 12 |
|
Vicki E Smith
374 South St |
$0.04 | 388 | 340 |
|
Adam Robert Rosen
725 North St |
$605.50 | 498 | 58 |
|
Joann Oliver Lynch
55 Loumar Dr |
$49.09 | 553 | 424 |
|
Jennifer L Michaels
333 East Street |
$78.75 | 561 | 77 |
|
Lindsey Autumn Keating
61 Eagle St |
$47.94 | 604 | 376 |
|
Berkshire Medical Center, Inc
725 North St |
$510.35 | 838 | 103 |
|
Rachel Nottke
359 Fenn St |
$48.18 | 2,118 | 1,362 |
|
Olivia Cote
390 Merrill Rd |
$46.50 | 2,685 | 1,364 |
|
Kari E Mathes
390 Merrill Rd |
$41.68 | 2,892 | 1,510 |
|
Berkshire Medical Center, Inc
48 Kent Ave |
$409.60 | 9,782 | 1,141 |
|
Anthony Rocco Giovanone
10 Wendell Avenue Ext |
$617.27 | 21,968 | 2,518 |
|
The Brien Center For Mental Health And Substance Abuse Services Inc.
333 East St |
$54.19 | 167,218 | 11,650 |
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 Pittsfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Pittsfield, MA is $131.70 per claim, based on 211,387 claims from 23 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 Pittsfield, MA?
There are 23 Medicaid providers offering Substance Abuse Treatment related services in Pittsfield, MA according to public payment data.
What is the price range for Substance Abuse Treatment in Pittsfield, MA?
Medicaid reimbursement for Substance Abuse Treatment in Pittsfield, MA ranges from $0.00 to $617.27 per claim, with an average of $131.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Pittsfield, MA
Office Visit
Avg $73.14
623,777 claims
Blood Work & Lab Tests
Avg $12.45
463,423 claims
Psychiatric Evaluation
Avg $73.67
226,329 claims
Case Management Services
Avg $115.32
205,804 claims
Emergency Room Visit
Avg $163.41
177,109 claims
Non-Emergency Medical Transportation
Avg $25.61
140,235 claims
Home Health Visit
Avg $214.30
130,001 claims
Dental Cleaning & Exam
Avg $35.86
118,955 claims