Average Medicaid Substance Abuse Treatment Payments in Westbrook, ME: $99.70
Avg. Paid
$99.70
Range
$32.04 – $174.88
Total Claims
93,507
Providers
24
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 Westbrook, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cap Quality Care, Inc.
1 Delta Dr |
$104.03 | 67,986 | 15,501 |
|
Molly K Thompson
125 Stroudwater St |
$129.14 | 7,880 | 1,946 |
|
Jessica L Parks
15 Saunders Way |
$52.30 | 4,327 | 1,769 |
|
Elizabeth Bacon
1 Harnois Ave |
$71.19 | 3,687 | 941 |
|
Shelby Briggs
11 Temple St |
$54.57 | 1,618 | 473 |
|
Danielle Rideout
50 Park Rd Ste 4 |
$92.55 | 1,457 | 486 |
|
James Allison Douglas
406 Bridgton Rd |
$82.98 | 985 | 332 |
|
Daniel Longley Stromgren
201 Main St |
$58.98 | 963 | 334 |
|
Katelyne Highland
825 Main St Ste 3 |
$82.96 | 817 | 262 |
|
Richard Russell
5 Pioneer Rd |
$95.52 | 648 | 182 |
|
Annmarie Rotolo
775 Main St # 551 |
$174.88 | 407 | 345 |
|
Jessica Shavon Pao
12 Westbrook Cmn |
$56.63 | 394 | 135 |
|
Halen Earle
116 W Pleasant St |
$81.26 | 367 | 141 |
|
Nicole E Blake
40 Brackett St Apt 3 |
$54.11 | 304 | 116 |
|
Carol Lyn Squires
1 Harnois Ave |
$32.04 | 278 | 109 |
|
Julia A. Healey
123 Andover Rd |
$78.86 | 277 | 125 |
|
Molly Tarr
15 Saunders Way |
$87.93 | 276 | 76 |
|
Meghan Michelle Walsh
775 Main St Unit 1089 |
$45.23 | 219 | 89 |
|
Kate Balfour Danielson
15 Saunders Way |
$84.00 | 173 | 50 |
|
Kristen Kathleen Bennett
201 Main St |
$67.15 | 133 | 38 |
|
Heather Nicole Borst
820 Main St |
$89.25 | 132 | 48 |
|
Heather Anne Hartshorne Webster
12 Westbrook Common |
$67.31 | 71 | 26 |
|
Lillian Harris
836 Main St |
$85.68 | 70 | 25 |
|
Timothy G True
740 Stroudwater St |
$39.45 | 38 | 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 Westbrook, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Westbrook, ME is $99.70 per claim, based on 93,507 claims from 24 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 Westbrook, ME?
There are 24 Medicaid providers offering Substance Abuse Treatment related services in Westbrook, ME according to public payment data.
What is the price range for Substance Abuse Treatment in Westbrook, ME?
Medicaid reimbursement for Substance Abuse Treatment in Westbrook, ME ranges from $32.04 to $174.88 per claim, with an average of $99.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Westbrook, ME
Case Management Services
Avg $94.76
352,503 claims
Behavioral & Mental Health Therapy
Avg $150.92
141,640 claims
Office Visit
Avg $38.72
86,455 claims
Blood Work & Lab Tests
Avg $2.73
55,983 claims
Home Health Visit
Avg $323.05
55,744 claims
Durable Medical Equipment (DME)
Avg $21.01
39,697 claims
Physical Therapy
Avg $24.93
31,771 claims
Psychiatric Evaluation
Avg $24.12
23,478 claims