Average Medicaid Substance Abuse Treatment Payments in Springvale, ME: $84.72
Avg. Paid
$84.72
Range
$29.41 – $136.01
Total Claims
44,609
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 Springvale, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sherri Ann Brooks
469 Main St |
$84.88 | 5,081 | 1,415 |
|
Keith Wellman Burns
474 Main Street |
$107.17 | 4,726 | 1,272 |
|
Chantel Cote
460 Main St Ste 2 |
$63.95 | 3,644 | 1,059 |
|
Ashleigh E. Locklear
474 Main St |
$59.63 | 3,527 | 1,369 |
|
Jonathan Berube
469 Main St Ste 101 |
$128.92 | 3,254 | 732 |
|
Melanie Lynn Dumas
474 Main St |
$70.95 | 2,962 | 1,153 |
|
Laurie Keene
474 Main St |
$62.00 | 2,945 | 774 |
|
Judy Gagnon
469 Main St Ste 308 |
$92.60 | 2,482 | 735 |
|
Jillian Marie Deruscio Belleard
460 Main St |
$76.96 | 2,328 | 616 |
|
Emily Shayna Ostrow
469 Main St |
$68.89 | 2,296 | 695 |
|
Suzanne Karen Patterson
469 Main St Ste 302 |
$91.03 | 1,882 | 665 |
|
Nicole Marie Hutzler
474 Main St |
$128.57 | 1,716 | 527 |
|
Tamara E. Kiernan
474 Main St |
$99.54 | 1,444 | 384 |
|
Devyn Nicole Talbot
469 Main St |
$70.76 | 1,199 | 328 |
|
Jennifer Ridolfi
15 Oak St |
$136.01 | 1,014 | 216 |
|
Karen Kielty Turner
474 Main St |
$54.89 | 864 | 283 |
|
Rebecca Michelle Burns
474 Main St |
$73.46 | 748 | 256 |
|
Maureen A. Green
474 Main St |
$93.20 | 639 | 117 |
|
Cynthia M Torres
469 Main St |
$37.09 | 583 | 125 |
|
Rebecca Lee Smith
460 Main St Ste 2 |
$54.93 | 475 | 130 |
|
Shayne Croy
469 Main St Ste 304 |
$78.78 | 388 | 134 |
|
Terah Rebekah Watson
474 Main St |
$29.41 | 183 | 92 |
|
Bruce B. Munro-Ludders
474 Main St |
$72.54 | 96 | 49 |
|
Linda M Chance
474 Main St |
$58.32 | 70 | 39 |
|
Jessica L. Disanto
474 Main St |
$51.66 | 42 | 13 |
|
Jeanne H. Croy
469 Main St Ste 304 |
$79.82 | 21 | 16 |
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 Springvale, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Springvale, ME is $84.72 per claim, based on 44,609 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 Springvale, ME?
There are 26 Medicaid providers offering Substance Abuse Treatment related services in Springvale, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Springvale, ME?
Medicaid reimbursement for Substance Abuse Treatment in Springvale, ME ranges from $29.41 to $136.01 per claim, with an average of $84.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Springvale, ME
Home Health Visit
Avg $116.09
213,846 claims
Office Visit
Avg $3.83
55,097 claims
Psychiatric Evaluation
Avg $6.51
25,874 claims
Dental Cleaning & Exam
Avg $1.69
21,950 claims
Speech Therapy
Avg $19.17
18,728 claims
Physical Therapy
Avg $43.85
8,289 claims
Dental Filling
Avg $1.41
7,487 claims
Tooth Extraction
Avg $1.30
4,171 claims