Average Medicaid Substance Abuse Treatment Payments in Providence, RI: $47.48
Avg. Paid
$47.48
Range
$0.00 – $226.19
Total Claims
496,940
Providers
48
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jodi Erin Deangelis
530 N Main St |
$82.73 | 18 | 13 |
|
Re-Focus Inc.
45 Greeley St |
$31.82 | 20 | 20 |
|
Laura M. Cote Gonzalez
345 Blackstone Blvd |
$42.52 | 26 | 12 |
|
Joyce Lanni-Fishpaw
101 Dudley St |
$32.25 | 27 | 12 |
|
Jasmin A Dimaio
530 N Main St |
$226.19 | 42 | 18 |
|
Kelsey Grabert
530 N Main St |
$31.30 | 44 | 31 |
|
Ramona Mello
62 Gesler St |
$59.20 | 45 | 25 |
|
Corey Potter
1 Richmond Sq Ste 300E |
$74.73 | 63 | 44 |
|
Highlander Charter School
42 Lexington Ave. |
$19.07 | 64 | 24 |
|
Upward Health Solutions Rhode Island Llc
188 Valley St Ste 201 |
$15.00 | 75 | 42 |
|
Linda Dewey
530 N Main St |
$44.38 | 79 | 54 |
|
Nadia M Evora
1 Richmond Sq Ste 300E |
$44.25 | 96 | 64 |
|
Metropolitan Regional Career & Technical Center
325 Public St |
$36.74 | 105 | 45 |
|
Jaissen M Jackson
194 Webster Ave |
$28.97 | 113 | 36 |
|
Rose Larkin
530 North Main St |
$35.21 | 133 | 70 |
|
Alexandra Carter
110 Elmwood Ave |
$75.24 | 140 | 101 |
|
Dawn Maden
110 Elmwood Ave |
$58.78 | 218 | 158 |
|
Catherine A'Vant-Fowler
530 N Main St |
$59.54 | 316 | 265 |
|
Lydie Helene Gnacadja
555 N Main St # 1088 |
$207.44 | 326 | 101 |
|
Sherri-Anne Fernandes
66 Pavilion Ave |
$65.66 | 335 | 183 |
|
Kazi Salahuddin
520 Hope St |
$0.00 | 362 | 136 |
|
Aubrie Marcoux
530 N Main St |
$48.71 | 395 | 199 |
|
Rosemary Lough
530 N Main St |
$92.94 | 560 | 210 |
|
Krystal Vasconcelos
825 Chalkstone Ave |
$190.33 | 609 | 138 |
|
Continuum Behavioral Health Inc
1 Randall Sq |
$166.04 | 613 | 519 |
|
Lisa A Peterson
110 Elmwood Ave |
$53.37 | 653 | 436 |
|
Alexander Donoyan
110 Elmwood Ave |
$71.21 | 711 | 547 |
|
Amanda Joye Whitney
110 Elmwood Ave |
$56.91 | 746 | 373 |
|
Ronna Leigh Cabral
66 Pavilion Ave |
$70.35 | 1,199 | 703 |
|
Opendoors
485 Plainfield St |
$69.00 | 1,308 | 682 |
|
Map Behavioral Health Services Inc.
66 Burnett Street |
$155.46 | 1,597 | 74 |
|
Bruce Beattie
530 N Main St |
$78.74 | 2,043 | 606 |
|
Butler Hospital
345 Blackstone Blvd |
$132.61 | 2,224 | 1,361 |
|
Guy Salesman
66 Burnett St |
$165.59 | 2,338 | 241 |
|
Achievement First Providence Mayoral Academy Charter School
370 Hartford Aveneue |
$18.50 | 2,749 | 1,002 |
|
Codac Inc
528 N Main St |
$41.66 | 3,826 | 784 |
|
The Providence Center Inc
530 N Main St |
$28.26 | 5,538 | 2,259 |
|
Victa Llc
110 Elmwood Ave # A |
$85.40 | 6,249 | 2,375 |
|
The Providence Center
90 Plain St |
$26.98 | 7,820 | 3,065 |
|
Amos House
460 Pine St |
$41.92 | 8,613 | 2,479 |
|
Bhg Lvii, Llc
160 Narragansett Ave |
$87.99 | 8,677 | 1,844 |
|
Laurie Ellen Deluca
530 N Main St |
$20.73 | 13,741 | 6,076 |
|
City Of Providence Rhode Island
797 Westminster St |
$18.37 | 15,961 | 7,777 |
|
Catherine Stewart Allen
765 Allens Ave |
$199.18 | 23,598 | 3,712 |
|
Codac Inc
349 Huntington Ave |
$44.54 | 27,388 | 6,877 |
|
Susan H Hart
110 Elmwood Ave |
$65.51 | 55,807 | 13,378 |
|
Ivan S. Wolfson
375 Allens Ave |
$16.68 | 121,470 | 7,671 |
|
R.I.S.A.T., Llc
66 Pavilion Ave |
$41.15 | 177,860 | 26,860 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Providence, RI is $47.48 per claim, based on 496,940 claims from 48 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 Providence, RI?
There are 48 Medicaid providers offering Substance Abuse Treatment related services in Providence, RI according to public payment data.
What is the price range for Substance Abuse Treatment in Providence, RI?
Medicaid reimbursement for Substance Abuse Treatment in Providence, RI ranges from $0.00 to $226.19 per claim, with an average of $47.48. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Physical Therapy
Avg $27.41
391,517 claims