Average Medicaid Substance Abuse Treatment Payments in Springfield, MA: $20.44
Avg. Paid
$20.44
Range
$0.00 – $290.85
Total Claims
8,386,620
Providers
42
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott F. Bousquet
2257 Main St |
$6.00 | 18 | 12 |
|
Ana Reinke
511 E Columbus Ave |
$6.81 | 18 | 14 |
|
Zenaida Ortega
511 E Columbus Ave |
$9.93 | 20 | 13 |
|
Wendy Shakoor
2257 Main St |
$13.79 | 21 | 14 |
|
Sadie Mary Dwyer
417 Liberty St |
$51.45 | 22 | 12 |
|
Jenny E Horowitz
50 Wason Ave |
$0.00 | 25 | 24 |
|
Ludwing E Depaz
95 Frank B Murray St |
$45.08 | 37 | 30 |
|
Violeta G Beer
511 E Columbus Ave |
$45.28 | 39 | 13 |
|
Brandy Leduc
2257 Main St |
$46.98 | 111 | 76 |
|
Pamela Dumas
32 Nutmeg Dr |
$46.84 | 118 | 69 |
|
Lisa M Carbonell Correa
2155 Main St |
$45.82 | 144 | 77 |
|
Ysabel C Gomez
120 Maple St |
$47.43 | 148 | 92 |
|
Sheila R Ramos
110 Maple St |
$10.50 | 148 | 86 |
|
Meghan Russell
417 Liberty St |
$4.19 | 172 | 52 |
|
Evelyn Cruz-Ruiz
33 School St |
$50.91 | 182 | 77 |
|
Alexandria Jones
395 Liberty St |
$4.81 | 247 | 78 |
|
Sabrina Leslie Stiles
1695 Main St |
$77.38 | 254 | 133 |
|
Alexandra Whittaker
417 Liberty St |
$150.44 | 282 | 169 |
|
Elizabeth Karen Czarnecki
110 Maple St |
$47.40 | 296 | 152 |
|
Olga Mercado
2257 Main St |
$6.99 | 397 | 181 |
|
Matthew D. Brownlie
511 E Columbus Ave |
$7.48 | 575 | 211 |
|
Jamie L Pons
2155 Main Street |
$5.02 | 582 | 251 |
|
Patricia Collins
130 Maple St |
$77.17 | 697 | 364 |
|
Joseph Honorious Lacasse
2257 Main St |
$49.78 | 872 | 469 |
|
Victoria Blake
395 Liberty St |
$3.92 | 1,117 | 228 |
|
Department Of Developmental Services
Springfield Cm |
$73.75 | 1,163 | 410 |
|
Janet Mary Grimes
417 Liberty St |
$290.85 | 2,299 | 1,595 |
|
The Mercy Hospital Inc
271 Carew St |
$13.76 | 2,635 | 361 |
|
Nichelle Denise Barnes
417 Liberty St |
$5.30 | 3,594 | 659 |
|
Taqueda Renee Smtih
417 Liberty St |
$5.26 | 6,011 | 789 |
|
Patricia Colin
395 Liberty St |
$5.44 | 6,282 | 963 |
|
Hazel Octavia Barrett
395 Liberty St |
$6.39 | 6,503 | 1,366 |
|
Antoinette Wilson
395 Liberty St |
$5.81 | 6,533 | 1,141 |
|
Arleen Jannette Figueroa
511 E Columbus Ave |
$9.86 | 7,071 | 1,041 |
|
Pauline Calderon-Evans
417 Liberty St |
$6.20 | 7,105 | 1,543 |
|
Tamer Bahgat
300 Birnie Ave |
$10.94 | 11,333 | 452 |
|
The Mercy Hospital Inc
271 Carew St |
$13.45 | 210,820 | 8,829 |
|
Behavioral Health Network, Inc
395 Liberty St |
$30.63 | 280,475 | 13,407 |
|
Gandara Mental Health Center Inc
2155 Main St |
$54.56 | 304,166 | 12,133 |
|
Behavioral Health Network Inc
417 Liberty St |
$70.76 | 410,601 | 22,558 |
|
Behavioral Health Network, Inc
395 Liberty St |
$28.40 | 468,878 | 20,509 |
|
Habit Opco, Llc
511 East Columbus Ave. |
$14.99 | 6,644,609 | 331,519 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Springfield, MA is $20.44 per claim, based on 8,386,620 claims from 42 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 Springfield, MA?
There are 42 Medicaid providers offering Substance Abuse Treatment related services in Springfield, MA according to public payment data.
What is the price range for Substance Abuse Treatment in Springfield, MA?
Medicaid reimbursement for Substance Abuse Treatment in Springfield, MA ranges from $0.00 to $290.85 per claim, with an average of $20.44. 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
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
Tucson, AZ
Avg $40.42
5,677,967 claims · 267 providers
Other Procedures in Springfield, MA
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims
Case Management Services
Avg $59.99
712,832 claims