Average Medicaid Substance Abuse Treatment Payments in Portland, ME: $116.83
Avg. Paid
$116.83
Range
$0.00 – $1,386
Total Claims
397,924
Providers
263
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan Carl Fellers
1 City Ctr Ste 8130 |
$106.30 | 52,774 | 12,897 |
|
Spurwink Services Incorporated
901 Washington Ave Ste 100 |
$10.55 | 22,538 | 6,620 |
|
Catholic Charities Maine
307 Congress Street |
$260.36 | 22,385 | 1,472 |
|
Judson D. Smith
62 Elm St |
$57.33 | 13,874 | 7,062 |
|
Autumn Dawn Schulz
2 Portland Sq Ste 210 |
$83.55 | 8,456 | 2,718 |
|
Steven Walter Conway
142 High St |
$119.33 | 6,531 | 1,739 |
|
Milestone Recovery
65 India St |
$1,386 | 6,361 | 4,685 |
|
Julia H. Hagen
222 St John St Suite 314 |
$62.37 | 6,243 | 1,943 |
|
David C Prichard
491 Stevens Ave |
$103.44 | 6,195 | 1,756 |
|
Timothy Dewitt Carnes
17 Bishop St |
$175.81 | 6,015 | 1,570 |
|
Pine Tree Recovery Center, Llc
17 Bishop St |
$352.84 | 5,678 | 742 |
|
Jennifer L Wurfel
142 High St Ste 416 |
$102.52 | 5,268 | 1,479 |
|
Erin Rhea Gagnon
171 Auburn St |
$97.18 | 5,228 | 1,032 |
|
Sarah Arnold
2300 Congress St |
$67.38 | 5,184 | 1,531 |
|
Mary Bennett
17 Bishop St |
$82.04 | 4,248 | 962 |
|
Debra A Ouimette
11 Baxter Blvd |
$66.85 | 3,954 | 1,322 |
|
Natalie K Roberts-Reisinger
68 Bishop St Ste 3 |
$110.05 | 3,866 | 1,570 |
|
Maria Kathryn Reali
901 Washington Ave Ste 100 |
$74.02 | 3,827 | 951 |
|
Casa, Inc.
741 Warren Ave |
$71.30 | 3,756 | 1,443 |
|
Miranda Nichols
165 Lancaster St |
$73.77 | 3,748 | 1,467 |
|
Wendy Noyes
901 Washington Ave |
$85.93 | 3,370 | 1,144 |
|
Sophie Berger
124 Emery St Apt 3 |
$93.04 | 3,364 | 815 |
|
Maria Lynne Duffy
12 Tremont St #2 |
$60.58 | 3,336 | 1,068 |
|
L.Anna Rutherford
11 Baxter Blvd Fl 2 |
$86.63 | 3,299 | 849 |
|
Kelly D Lancaster
901 Washington Ave Ste 100 |
$52.89 | 3,067 | 588 |
|
Mainehealth
165 Lancaster St |
$72.41 | 3,049 | 1,356 |
|
Kathryn Dewey
57 Exchange St Ste 203 |
$61.41 | 2,843 | 600 |
|
Melissa Jean Marcinuk
165 Lancaster St |
$78.88 | 2,818 | 905 |
|
Heather Lynn Maloney
72 Auburn St |
$55.81 | 2,812 | 1,095 |
|
Spurwink Services Incorporated
62 Elm St |
$70.07 | 2,706 | 1,097 |
|
Holly Anne Hogan
11 Baxter Blvd Fl 2 |
$79.88 | 2,669 | 847 |
|
Benjamin D Cote
901 Washington Ave Ste 100 |
$91.53 | 2,629 | 878 |
|
Mary Cole
222 Auburn St Ste 201 |
$122.29 | 2,521 | 672 |
|
Gregory Benjamin Perchik
23 Ocean Ave |
$194.19 | 2,486 | 274 |
|
Felicia Erin Conley
11 Baxter Blvd Fl 2 |
$74.99 | 2,421 | 791 |
|
Shelby Ann Thompson
175 Auburn Street |
$79.10 | 2,399 | 642 |
|
Alexis A Rice
901 Washington Ave Ste 100 |
$79.68 | 2,344 | 642 |
|
Kathryn Alison Clark
535 Ocean Ave Ste 4 |
$96.71 | 2,279 | 687 |
|
Kimberly M. Blaney
106 Gilman St |
$58.67 | 2,204 | 970 |
|
Alissa Sullivan Torpey
27 Arlington St Apt 4 |
$109.41 | 2,194 | 647 |
|
Gateway Community Services, Llc
999 Forest Ave |
$120.91 | 2,166 | 889 |
|
Kayla B Ouellette
901 Washington Ave Ste 100 |
$79.59 | 2,115 | 578 |
|
Jason Rogers
59 Preble St |
$93.11 | 2,066 | 743 |
|
Morgan A Houlihan
901 Washington Ave Ste 100 |
$79.00 | 2,052 | 580 |
|
Caroline Woodworth
17 May St Apt 3 |
$80.76 | 2,044 | 631 |
|
Sophia Morgenstern Ranta
165 Lancaster St |
$68.99 | 1,937 | 551 |
|
Emily R. Pines
126 Revere St |
$71.39 | 1,927 | 466 |
|
Danielle Mckee
901 Washington Ave Ste 100 |
$66.93 | 1,920 | 464 |
|
Lanie Beth Howes
901 Washington Ave Ste 100 |
$96.70 | 1,903 | 580 |
|
Jarrid H Jones
165 Lancaster St |
$50.56 | 1,901 | 915 |
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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Portland, ME is $116.83 per claim, based on 397,924 claims from 263 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 Portland, ME?
There are 263 Medicaid providers offering Substance Abuse Treatment related services in Portland, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Portland, ME?
Medicaid reimbursement for Substance Abuse Treatment in Portland, ME ranges from $0.00 to $1,386 per claim, with an average of $116.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
Hartford, CT
Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims
Ultrasound
Avg $41.00
223,352 claims