Average Medicaid Substance Abuse Treatment Payments in South Portland, ME: $91.27
Avg. Paid
$91.27
Range
$0.00 – $255.44
Total Claims
297,857
Providers
52
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 South Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donna Lee Andrews
1486 Broadway |
$56.62 | 19 | 12 |
|
Noreast Home Care, Llc
584 Main St |
$0.00 | 26 | 26 |
|
Julie Wyona Vecchio
400 Western Ave |
$28.88 | 29 | 14 |
|
Elyse Tourangeau
525 Main St Ste E |
$72.29 | 32 | 13 |
|
Margaret Derose Braga
254 Western Ave |
$34.73 | 51 | 24 |
|
Krystle Nicole Ladd
100 Brickhill Ave Ste 304 |
$77.95 | 54 | 32 |
|
Scott Kenneth Morse
609 Main St |
$93.58 | 60 | 24 |
|
Stephanie Melissa Tzrinske
49 Atlantic Pl |
$159.76 | 67 | 15 |
|
Jayne R. Weisberg
41 Donald Bean Drive |
$109.44 | 81 | 37 |
|
James M Claiborn
6 D St |
$91.18 | 87 | 37 |
|
Lisa Ann Hodgkins
400 Western Ave |
$255.44 | 93 | 15 |
|
Kristen Dunphe
324 Gannett Dr Ste 300 |
$151.72 | 122 | 40 |
|
Caitlin Macvane
100 Gannett Drive |
$78.00 | 147 | 52 |
|
Michael Pepin
280B Gannett Dr |
$96.40 | 156 | 64 |
|
Sandra Elena Sneiderman
125 John Roberts Rd |
$70.81 | 194 | 50 |
|
Sherie Daigle
100 Gannett Dr |
$95.74 | 204 | 72 |
|
Licia Sheridan
49 Atlantic Pl |
$173.27 | 217 | 60 |
|
Jennifer Conley
525 Main St |
$89.93 | 265 | 94 |
|
Savannah Davis
63 Ocean St Ste B |
$75.28 | 279 | 86 |
|
Emeline Speyer Ferguson
280 Gannett Drive |
$88.77 | 314 | 98 |
|
Susan Emily Worcester
146 Ocean St Ste 8 |
$86.57 | 404 | 151 |
|
Robin A. Barstow
236 Gannett Dr |
$80.46 | 406 | 177 |
|
Gregory C. Romanoff
400 Western Ave |
$41.01 | 470 | 283 |
|
Madalyn Davis
148 S Kelsey St # 3 |
$62.39 | 506 | 189 |
|
Kristen D Smith
169 Anthoine St |
$97.85 | 560 | 182 |
|
Laurie Matson Fear
918 Broadway |
$34.48 | 606 | 182 |
|
Jennifer H Brown
100 Gannett Dr |
$75.80 | 628 | 194 |
|
Samantha Blackadar
100 Gannett Dr |
$79.36 | 759 | 259 |
|
Margaret Munsell
260 Western Ave Ste 202 |
$75.96 | 776 | 292 |
|
Sarah Beth Maxner
546 Preble St |
$78.31 | 819 | 340 |
|
Kathryn J Kinney
22 Cottage Rd |
$41.98 | 861 | 115 |
|
Lauren S Manchester
650 Main St |
$56.48 | 921 | 397 |
|
Julie Vohs
963 Broadway |
$99.11 | 1,082 | 332 |
|
Lydia Martzial
100 Gannett Dr Ste A |
$67.08 | 1,092 | 320 |
|
Nicole Sawyer
100 Gannett Dr # Dr |
$71.92 | 1,400 | 460 |
|
Keely B Anderson
127 Harriet St |
$87.71 | 1,680 | 564 |
|
Emily Marron Webster
100 Gannett Dr |
$91.52 | 1,713 | 552 |
|
Jennifer Stapleton
125 John Roberts Rd Ste 12 |
$86.14 | 1,789 | 603 |
|
Emily Keef
707 Sable Oaks Dr |
$81.87 | 2,052 | 563 |
|
Sara Dulac
525 Main St |
$91.86 | 2,220 | 660 |
|
Emily Rice
49 Atlantic Pl |
$69.90 | 2,431 | 666 |
|
Lacey Marie Graffam
63 Ocean St Unit B |
$107.56 | 2,550 | 872 |
|
Danielle Andree Mack
100 Gannett Dr |
$73.64 | 2,795 | 1,225 |
|
Jamie L Jandreau
280B Gannett Dr |
$87.84 | 3,237 | 974 |
|
Whitney N Pierce
525 Main St |
$75.92 | 3,428 | 1,500 |
|
Tammy Miranda
1486B Broadway |
$72.09 | 3,507 | 1,143 |
|
Sarah Ann Doeur
35 Pine Haven Ter |
$60.16 | 4,238 | 1,011 |
|
Paul Miller
650 Main St |
$97.76 | 5,377 | 1,730 |
|
Shannon E Morris
39 Carver Blvd |
$94.35 | 5,877 | 1,402 |
|
Cue Saremi
324 Gannett Drive |
$94.10 | 8,527 | 2,329 |
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 South Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in South Portland, ME is $91.27 per claim, based on 297,857 claims from 52 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 South Portland, ME?
There are 52 Medicaid providers offering Substance Abuse Treatment related services in South Portland, ME according to public payment data.
What is the price range for Substance Abuse Treatment in South Portland, ME?
Medicaid reimbursement for Substance Abuse Treatment in South Portland, ME ranges from $0.00 to $255.44 per claim, with an average of $91.27. 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 South Portland, ME
Personal Care Services
Avg $126.38
850,870 claims
Home Health Visit
Avg $246.46
379,127 claims
Case Management Services
Avg $68.45
222,206 claims
Office Visit
Avg $43.25
104,221 claims
Behavioral & Mental Health Therapy
Avg $236.70
54,529 claims
Physical Therapy
Avg $19.62
29,902 claims
Emergency Room Visit
Avg $58.88
20,353 claims
Eye Exam
Avg $54.38
19,121 claims