Average Medicaid Substance Abuse Treatment Payments in Sanford, ME: $107.56
Avg. Paid
$107.56
Range
$41.95 – $212.73
Total Claims
18,754
Providers
18
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 Sanford, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joielle K. Lunny
883 Main St Ste 1 |
$53.84 | 40 | 12 |
|
Jenny-Jo Bell
25A June St Ste 113 |
$41.95 | 54 | 27 |
|
Jenifer Lynn Baron
25A June St |
$71.58 | 93 | 42 |
|
Kate Kelley
14 Winter St |
$212.73 | 166 | 26 |
|
Lindsay Elizabeth Libby
25 June St |
$77.42 | 188 | 85 |
|
Paul J Sturmer
312 Cottage St Ste F |
$85.05 | 209 | 116 |
|
James Pakman
25A June St Ste 111 |
$72.28 | 231 | 107 |
|
Alison N. Odlin
909 Main St Ste B |
$59.93 | 315 | 148 |
|
Jessica L Walker
14 Winter St |
$93.42 | 335 | 97 |
|
Stephanie Morrow
308 Grammar Rd |
$99.88 | 488 | 189 |
|
James Gorham
997 Main St |
$68.33 | 628 | 315 |
|
Melissa L Lebrun
302 Cottage Street |
$57.74 | 1,102 | 409 |
|
Tara K. Pullen
4 Washington St |
$63.93 | 1,172 | 385 |
|
Renee Kazan-Komarek
997 Main St |
$104.68 | 1,417 | 496 |
|
Matthew Jason Holt
469 Main Street, Suite 201 |
$91.06 | 1,680 | 503 |
|
Bridget M O'Keefe
55 School St |
$85.38 | 2,472 | 766 |
|
Valerie Lynn Kennedy Hesketh
849 Main St Ste 100 |
$85.36 | 2,985 | 1,100 |
|
Danielle F Duckworth
69 Eagle Drive |
$168.78 | 5,179 | 529 |
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 Sanford, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Sanford, ME is $107.56 per claim, based on 18,754 claims from 18 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 Sanford, ME?
There are 18 Medicaid providers offering Substance Abuse Treatment related services in Sanford, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Sanford, ME?
Medicaid reimbursement for Substance Abuse Treatment in Sanford, ME ranges from $41.95 to $212.73 per claim, with an average of $107.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Sanford, ME
Case Management Services
Avg $69.05
175,299 claims
Office Visit
Avg $37.53
80,495 claims
Eye Exam
Avg $27.77
22,762 claims
Ambulance Transport
Avg $107.50
16,948 claims
Chiropractic Care
Avg $16.25
15,937 claims
Physical Therapy
Avg $37.80
11,105 claims
Speech Therapy
Avg $15.51
10,738 claims
Emergency Room Visit
Avg $53.44
8,394 claims