Average Medicaid Substance Abuse Treatment Payments in Rockland, ME: $60.84
Avg. Paid
$60.84
Range
$3.57 – $162.34
Total Claims
85,044
Providers
33
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 Rockland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arvind Patel
166 New County Rd |
$51.12 | 42,085 | 9,677 |
|
Shawn Michael Rodgers
17 Masonic St |
$39.36 | 9,997 | 3,161 |
|
Kelly J Webster-Raymond
12 Water St Ste 210 |
$104.00 | 4,373 | 1,287 |
|
Maureen G. Kehoe
400 Broadway |
$62.42 | 4,172 | 1,407 |
|
Gregory Stine
12 Union St |
$77.34 | 3,284 | 1,229 |
|
Adrian Alan Counce
474 Main St |
$63.70 | 2,753 | 737 |
|
Elizabeth E Doyle
375 Main St |
$110.42 | 2,329 | 999 |
|
Emily Frances Carver
12 Union St |
$44.21 | 2,150 | 971 |
|
Daniel James Kelly
12 Union St |
$58.12 | 1,944 | 908 |
|
Sydney Leah Barnhart
17 Masonic St |
$50.21 | 1,805 | 456 |
|
Kendra D Arey
17 Walnut St |
$96.44 | 1,557 | 564 |
|
Diane Scalia
12 Union St |
$82.80 | 1,493 | 529 |
|
George Wesley Mele
120 Tillson Ave |
$162.34 | 1,420 | 567 |
|
Esther S Underdown
12 Union St |
$92.16 | 1,080 | 349 |
|
Ian R C Witherby
12 Union St |
$64.32 | 811 | 329 |
|
Matthew Travis Hendry
120 Tillson Ave Ste 214 |
$92.39 | 810 | 315 |
|
Wesley H Hohfeld
474 Main St |
$86.60 | 713 | 302 |
|
Abigale Razo
375 Main St |
$101.53 | 567 | 226 |
|
Kimberly Ann Scott
474 Main St |
$3.57 | 272 | 207 |
|
Michael W Reeves
375 Main St |
$82.89 | 269 | 90 |
|
Danielle N. Mayer
12 Union St |
$33.86 | 259 | 123 |
|
Emily L Taylor
12 Union St |
$59.13 | 240 | 107 |
|
Michael S Morse
12 Union St |
$34.67 | 160 | 101 |
|
Helen Marie Rogers
166 New County Rd |
$24.41 | 111 | 94 |
|
Maryann B. Guernsey
75 Mechanic St Ste 206E |
$53.70 | 87 | 40 |
|
William B Mckenzie
12 Union St |
$42.04 | 66 | 49 |
|
Molly W Harvey
315 Main St Ste 204 |
$63.63 | 48 | 26 |
|
Donald Morang
12 Union St |
$70.53 | 45 | 24 |
|
Heather A Huey
12 Union Street |
$74.48 | 41 | 12 |
|
Melissa A Dunham
12 Union St |
$51.44 | 30 | 12 |
|
Roger Herman Quehl
12 Union St |
$77.11 | 30 | 13 |
|
Robert Dodge
120 Tillson Ave Ste 201 |
$89.91 | 23 | 12 |
|
Susan F Sealy
12 Union St |
$59.85 | 20 | 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 Rockland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Rockland, ME is $60.84 per claim, based on 85,044 claims from 33 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 Rockland, ME?
There are 33 Medicaid providers offering Substance Abuse Treatment related services in Rockland, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Rockland, ME?
Medicaid reimbursement for Substance Abuse Treatment in Rockland, ME ranges from $3.57 to $162.34 per claim, with an average of $60.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Other Procedures in Rockland, ME
Case Management Services
Avg $69.51
33,523 claims
Office Visit
Avg $35.24
13,001 claims
Behavioral & Mental Health Therapy
Avg $222.48
9,454 claims
Chiropractic Care
Avg $17.33
8,713 claims
Ambulance Transport
Avg $91.00
7,496 claims
Home Health Visit
Avg $229.56
7,325 claims
Eye Exam
Avg $28.10
6,806 claims
Psychiatric Evaluation
Avg $44.88
2,668 claims