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 |
|---|---|---|---|
|
Timothy Michael Mcbrady
2300 Congress St |
$25.08 | 12 | 12 |
|
James B Skelton
160 Preble St |
$225.80 | 18 | 12 |
|
Claire Dean
901 Washington Ave Ste 100 |
$88.23 | 20 | 17 |
|
Granite Bay Care, Inc
1037 Forest Ave |
$0.00 | 20 | 19 |
|
Tracy E Haller
741 Warren Ave |
$65.25 | 21 | 12 |
|
Sarah E. Tucker
165 Lancaster St |
$35.38 | 26 | 12 |
|
Rosemary B. Mason
165 Lancaster St |
$68.89 | 27 | 13 |
|
Jennie S Summers-Shea
901 Washington Ave Ste 100 |
$104.67 | 28 | 14 |
|
Melissa Mary Parker
901 Washington Ave |
$75.73 | 28 | 12 |
|
Katherine E Doering
901 Washington Ave Ste 100 |
$83.05 | 29 | 12 |
|
Margaret Y Matthews
901 Washington Ave Ste 100 |
$99.01 | 32 | 13 |
|
Melissa Jane Hoskins
525 Forest Ave |
$54.48 | 35 | 15 |
|
Monique Rafuse
57 Exchange St |
$44.11 | 36 | 12 |
|
Rebecca Anderson
19 Hanson St |
$68.28 | 37 | 13 |
|
Eric Pratt
535 Ocean Ave Ste 4 |
$97.20 | 39 | 20 |
|
Kallie M Dorsey
901 Washington Ave Ste 100 |
$71.40 | 42 | 12 |
|
Anthony C. Brucato
165 Lancaster St |
$67.50 | 43 | 12 |
|
Linda Rf Tiffany
57 Exchange St |
$82.87 | 44 | 12 |
|
Cheryl Ann Daly
343 Forest Avenue |
$53.78 | 47 | 12 |
|
Kaisa Mann
30 Danforth St Ste 311 |
$65.35 | 47 | 26 |
|
Elise Overcash
844 Stevens Ave Ste 33 |
$0.00 | 48 | 25 |
|
Julia S Wood
30 Danforth St Ste 311 |
$77.63 | 48 | 12 |
|
Margaret Murphy
22 Free St |
$55.52 | 49 | 13 |
|
Katherine J Freeman
901 Washington Ave Ste 100 |
$100.65 | 49 | 24 |
|
Deandra L Clark
250 Anderson St |
$77.04 | 54 | 24 |
|
Tyler Connolly
165 Lancaster St |
$83.41 | 55 | 27 |
|
Julia Mw Foster
216 Vaughan St |
$91.37 | 60 | 25 |
|
Hannah K Goodale
901 Washington Ave Ste 100 |
$72.02 | 69 | 24 |
|
Merrilee Dahm Larsen
53 Baxter Blvd Ste 3 |
$65.54 | 74 | 22 |
|
Rebecca Conners
69 Presumpscot St |
$66.44 | 74 | 25 |
|
Amanda Marie Place
499 Stevens Ave |
$85.14 | 78 | 25 |
|
Felix Anthony Del Vecchio
25 Middle St |
$56.70 | 79 | 28 |
|
Carolyn Sass
19 South St Ste 2 |
$93.07 | 88 | 27 |
|
Erika C Hubbard
411 Congress St |
$84.69 | 89 | 36 |
|
Joshua Ryan Kingsbury
251 Woodford St |
$81.04 | 95 | 49 |
|
Kathryn M Seelen
901 Washington Ave Ste 100 |
$69.11 | 96 | 25 |
|
Maddalena Grace Chiappetta
535 Ocean Ave Ste 4 |
$138.52 | 105 | 42 |
|
Lynne A Benoit
420 Cumberland Ave |
$67.37 | 108 | 50 |
|
Jane E. Hubley
165 Lancaster St |
$63.32 | 109 | 49 |
|
Allison Anne Morse
22 Bramhall St |
$91.07 | 111 | 50 |
|
David Walter
25 Middle Street |
$306.14 | 114 | 12 |
|
Barbara J Chase
50 Monument Sq |
$69.07 | 115 | 48 |
|
Lindsay Rivard
1087 Forest Ave |
$84.73 | 117 | 44 |
|
David Alan Patch
222 Saint John St Ste 208 |
$64.55 | 125 | 53 |
|
Samuel Anderson Abbott
686 Brighton Ave |
$83.70 | 132 | 51 |
|
Christopher T Jones
165 Lancaster St |
$49.87 | 134 | 35 |
|
Audrey Armit Chapman
901 Washington Ave Ste 100 |
$87.41 | 140 | 52 |
|
Jacob M Wisecup
901 Washington Ave Ste 100 |
$80.41 | 144 | 42 |
|
Donald Burke
57 Exchange St |
$70.89 | 147 | 66 |
|
Mary Dowd
63 Preble St |
$0.00 | 148 | 73 |
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