Average Medicaid Behavioral & Mental Health Therapy Payments in Philadelphia, PA: $119.23
Avg. Paid
$119.23
Range
$0.00 – $3,670
Total Claims
1,618,868
Providers
82
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
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 Behavioral & Mental Health Therapy in Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nur Abir Greene
8500 Germantown Ave Fl 2 |
$104.35 | 17 | 15 |
|
Rachel Paolucci
12 N Preston St |
$101.84 | 19 | 13 |
|
Northeast Treatment Centers, Inc
499 N 5Th St |
$0.00 | 37 | 23 |
|
Donna Almeida
160 E Erie Ave |
$45.10 | 41 | 12 |
|
Aspire Autism Inc.
330 N 41St St |
$81.54 | 62 | 45 |
|
Leonard Arthur Means
1315 Windrim Ave |
$0.00 | 66 | 57 |
|
Kutest Kids Early Intervention Co.
7201 Ridge Ave |
$153.40 | 66 | 65 |
|
Special People In Northeast, Inc.
10501 Drummond Rd |
$190.69 | 170 | 157 |
|
Children'S Hospital Of Philadelphia
4601 Market St Fl 3 |
$511.41 | 205 | 30 |
|
Merakey Parkside Recovery
5429 Germantown Ave |
$0.00 | 268 | 209 |
|
West Phila Community Mental Health Consortium, Inc.
137 S 58Th St |
$0.00 | 477 | 424 |
|
Belmont Behavioral Hospital, Llc
11600 Caroline Rd |
$0.00 | 478 | 87 |
|
Intercommunity Action, Inc.
6012 Ridge Ave |
$0.00 | 717 | 229 |
|
Philadelphia Health Management Corp
111 N 49Th St |
$3,670 | 727 | 552 |
|
Philadelphia Health Management Corporation
3300 Henry Ave Fl 2 |
$0.00 | 958 | 321 |
|
Trustees Of The University Of Pennsylvania
3400 Spruce St |
$643.11 | 1,098 | 1,029 |
|
Michael Tyler Ramos, Llc
201 S. 18Th Street |
$242.50 | 1,246 | 402 |
|
Path (People Acting To Help), Inc
1919 Cottman Ave |
$45.50 | 1,467 | 441 |
|
Resources For Human Development, Inc.
5201 Old York Rd |
$0.00 | 1,576 | 695 |
|
Centralized Comprehensive Human Services, Inc.
112 N Broad St |
$175.19 | 1,642 | 203 |
|
Elwyn Of Pennsylvania And Delaware
12 N Preston St |
$10.29 | 1,695 | 364 |
|
Michael F Inesta-Allison
1401 S 31St St Fl 2 |
$38.49 | 1,845 | 1,644 |
|
Resources For Human Development, Inc.
4700 Wissahickon Ave |
$0.00 | 2,001 | 820 |
|
Community Integrated Services
441 N 5Th St Ste 101 |
$28.62 | 2,070 | 958 |
|
Resources For Human Development, Inc.
4700 Wissahickon Ave Ste 126 |
$260.07 | 2,222 | 1,031 |
|
Centralized Comprehensive Human Services, Inc.
2742 N 5Th St |
$20.01 | 2,462 | 408 |
|
Greater Philadelphia Health Action, Inc.
1999 W Hunting Park Ave |
$67.44 | 4,032 | 1,266 |
|
Path (People Acting To Help), Inc.
8220 Castor Ave |
$0.00 | 4,123 | 1,639 |
|
Wmc
1939 S Juniper St |
$161.38 | 4,727 | 617 |
|
Resources For Human Development, Inc.
4700 Wissahickon Ave |
$92.19 | 5,230 | 1,489 |
|
Wmc
3600 Germantown Ave |
$158.16 | 5,567 | 605 |
|
Community Council
4900 Wyalusing Ave |
$29.30 | 5,586 | 1,223 |
|
Bethanna
2500 Wharton St |
$0.00 | 6,737 | 1,842 |
|
Merakey Childrens Services
265 E Lehigh Ave |
$2.66 | 7,076 | 1,485 |
|
Elwyn Of Pennsylvania And Delaware
3300 Henry Ave Ste 401 |
$0.00 | 7,273 | 3,002 |
|
Uhs Of Fairmount Inc
561 Fairthorne Ave |
$245.64 | 7,484 | 952 |
|
Northeast Community Center For Mental Health & Mental Retardation
1527 Overington St |
$0.00 | 7,550 | 921 |
|
Merakey Philadelphia
11082 Knights Rd |
$0.00 | 8,470 | 1,263 |
|
Bethanna
2500 Wharton St |
$0.00 | 9,232 | 2,195 |
|
Intercommunity Action, Inc.
6122 Ridge Ave |
$57.18 | 10,172 | 2,998 |
|
Cora Services, Inc.
8540 Verree Rd |
$148.10 | 10,397 | 3,702 |
|
West Phila Community Mental Health Consortium, Inc.
5501 Chestnut St |
$153.70 | 10,592 | 1,986 |
|
Centralized Comprehensive Human Services, Inc.
907 N Broad St |
$56.90 | 10,669 | 1,544 |
|
Philadelphia Area School District
440 N Broad St |
$0.00 | 11,175 | 4,472 |
|
Northeast Community Center For Mental Health & Mental Retardation
4371 Waln St |
$51.78 | 12,462 | 1,376 |
|
Hall-Mercer Cmh-Mrc Of Pennsylvania Hosp
245 S 8Th St |
$546.28 | 12,741 | 11,438 |
|
Elwyn Of Pennsylvania And Delaware
4017 Ludlow St |
$66.52 | 12,759 | 1,732 |
|
Community Council For Mh/Mr
4900 Wyalusing Ave |
$45.34 | 13,742 | 2,306 |
|
Resources For Human Development, Inc.
4700 Wissahickon Ave Ste 126 |
$81.25 | 13,795 | 3,577 |
|
Path (People Acting To Help), Inc.
8220 Castor Ave |
$96.54 | 14,454 | 3,688 |
What to Expect: Behavioral & Mental Health Therapy
Therapy sessions typically last 45-60 minutes. You'll meet with a licensed therapist to discuss your thoughts, feelings, and behaviors. Common approaches include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. Sessions are usually weekly. Group therapy sessions are 60-90 minutes with 6-12 participants.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Behavioral & Mental Health Therapy cost in Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Philadelphia, PA is $119.23 per claim, based on 1,618,868 claims from 82 providers. Typical payments fall between $52.14 and $116.48. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Behavioral & Mental Health Therapy in Philadelphia, PA?
There are 82 Medicaid providers offering Behavioral & Mental Health Therapy related services in Philadelphia, PA according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Philadelphia, PA?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Philadelphia, PA ranges from $0.00 to $3,670 per claim, with an average of $119.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
Washington, DC
Avg $86.63
8,402,752 claims · 1641 providers
Miami, FL
Avg $96.96
6,731,703 claims · 689 providers
Phoenix, AZ
Avg $123.66
4,416,857 claims · 474 providers
Clinton, MO
Avg $0.01
3,575,106 claims · 5 providers
Los Angeles, CA
Avg $203.16
3,345,905 claims · 251 providers
Columbus, OH
Avg $86.62
2,709,784 claims · 2349 providers
Cleveland, OH
Avg $95.38
2,548,278 claims · 2098 providers
Toledo, OH
Avg $95.61
2,310,766 claims · 1774 providers
Other Procedures in Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims
EKG / ECG (Electrocardiogram)
Avg $11.36
1,272,685 claims