Average Medicaid Substance Abuse Treatment Payments in Scarborough, ME: $83.86
Avg. Paid
$83.86
Range
$56.84 – $115.64
Total Claims
23,907
Providers
26
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 Scarborough, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole O'Brien
7 Portland Farms Rd |
$78.78 | 4,154 | 1,185 |
|
Sarah D Fowler
144 Us Route 1 |
$93.08 | 3,355 | 1,059 |
|
Brandon L Ouellette
71 Us Route 1 Ste G |
$88.02 | 2,544 | 792 |
|
John Peter Soldano
71 Us Route 1 |
$78.24 | 1,794 | 693 |
|
Angela M. Barbato
10 Market St Ste 205 |
$107.29 | 1,208 | 355 |
|
Deborah Jo S Landry
15 Holly St |
$70.73 | 1,202 | 380 |
|
Maura Oakes
71 Us Route 1 Ste H |
$85.37 | 1,037 | 312 |
|
Chloe A Lapointe
7 Oak Hill Terrace |
$73.42 | 1,033 | 249 |
|
John David Kidney
10 Market Street, Suite 205 |
$78.99 | 928 | 255 |
|
Chelsea Marie Stephenson
71 Us Route 1 Ste E |
$81.78 | 873 | 254 |
|
Derick Reece
71 Us Route 1 |
$77.05 | 819 | 338 |
|
Catherine Lynn Coombs
23 Carriage Way |
$78.31 | 794 | 336 |
|
Hollie Rae Brewer-Cushman
71 Us Route 1 Ste E |
$84.11 | 560 | 151 |
|
Alyssa M Wade
60 Chamberlain Rd |
$56.84 | 545 | 144 |
|
Morgan Dorsey
8 Fowler Farm Rd |
$89.50 | 471 | 122 |
|
Mary J. Guzik
15 Pleasant Hill Rd |
$57.89 | 405 | 194 |
|
Lori-Ann Gato
200 Professional Dr |
$101.32 | 331 | 105 |
|
Kate Lynn Matthews Clark
7 Oak Hill Ter Ste 211 |
$77.99 | 320 | 97 |
|
Jennifer H Freeman
482 Payne Rd |
$83.47 | 272 | 93 |
|
Karin D Rapel
7 Oak Hill Terrace |
$86.44 | 271 | 112 |
|
Cheyenne Duckert
71 Route 1 |
$103.62 | 257 | 87 |
|
Garret Scott Mercier
20 Mussey Rd Ste 8 |
$115.64 | 251 | 72 |
|
Danielle Yvonne Fazio
71 Us Route 1 Ste E |
$97.94 | 176 | 34 |
|
Kara Michele Knaide
6 Carrier Woods Rd |
$95.77 | 134 | 66 |
|
Elizabeth Jane Macinnes
71 Us Route 1 Ste E |
$104.48 | 122 | 31 |
|
Rebecca Anne Kenny
258 Us Route 1 |
$102.48 | 51 | 14 |
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 Scarborough, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Scarborough, ME is $83.86 per claim, based on 23,907 claims from 26 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 Scarborough, ME?
There are 26 Medicaid providers offering Substance Abuse Treatment related services in Scarborough, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Scarborough, ME?
Medicaid reimbursement for Substance Abuse Treatment in Scarborough, ME ranges from $56.84 to $115.64 per claim, with an average of $83.86. 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 Scarborough, ME
Blood Work & Lab Tests
Avg $5.56
884,343 claims
Case Management Services
Avg $59.61
154,080 claims
Home Health Visit
Avg $86.71
126,047 claims
Office Visit
Avg $47.95
105,667 claims
EKG / ECG (Electrocardiogram)
Avg $4.42
105,137 claims
Non-Emergency Medical Transportation
Avg $15.21
93,962 claims
Ambulance Transport
Avg $100.78
81,368 claims
Urinalysis & Urine Tests
Avg $2.71
48,637 claims