Average Medicaid Substance Abuse Treatment Payments in Bronx, NY: $38.59
Avg. Paid
$38.59
Range
$0.00 – $275.00
Total Claims
6,144,578
Providers
254
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
1776 Clay Avenue |
$28.00 | 1,379,378 | 80,189 |
|
Montefiore Medical Center
111 E 210Th St |
$38.29 | 839,669 | 135,327 |
|
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
1776 Clay Avenue |
$30.21 | 610,066 | 37,945 |
|
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc
1776 Clay Ave |
$29.57 | 536,361 | 30,220 |
|
Vocational Instruction Project Community Services, Inc.
770 E 176Th St Fl 3 |
$36.71 | 485,767 | 45,481 |
|
St. Barnabas Hospital
4422 Third Avenue |
$31.61 | 454,102 | 21,147 |
|
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc
1776 Clay Ave |
$26.85 | 371,473 | 21,055 |
|
Daniel Rosa
1776 Clay Ave |
$37.24 | 206,583 | 12,631 |
|
Bronxcare Health System
1276 Fulton Ave |
$26.21 | 105,079 | 7,746 |
|
Bronxcare Health System
1650 Grand Concourse |
$30.98 | 88,667 | 7,101 |
|
Vertex Llc
1080 E Gun Hill Rd |
$64.44 | 84,244 | 16,853 |
|
Concourse Medical Center Inc
880 Morris Ave |
$26.94 | 70,096 | 5,552 |
|
Bronx Addiction Services Integrated Concepts System Inc
915 Westchester Ave |
$205.95 | 68,978 | 3,146 |
|
Odyssey House, Inc
953 Southern Blvd Rm 301 |
$262.79 | 59,094 | 7,755 |
|
Vocational Instruction Project Community Services, Inc
764 E 176Th St |
$161.08 | 56,743 | 2,419 |
|
The Pac Program Of The Bronx
1215 Stratford Ave |
$65.17 | 41,651 | 8,987 |
|
Vocational Instruction Project Community Services Inc
716 Fairmount Pl |
$119.87 | 35,296 | 2,121 |
|
Cecilia Griselda Calderon
1262 Boston Rd |
$0.66 | 31,854 | 29,237 |
|
Osborne Treatment Services
809 Westchester Ave |
$53.91 | 31,839 | 6,051 |
|
Melissa R Stein
804 E 138Th St |
$39.93 | 29,562 | 4,232 |
|
Peter Tenore
1500 Waters Pl |
$41.43 | 23,073 | 3,206 |
|
Giliane Joseph
1510 Waters Pl |
$38.75 | 22,620 | 2,815 |
|
Jorge Luis Cornielle
1262 Boston Rd |
$0.47 | 22,545 | 22,519 |
|
Jonathan Lee
3550 Jerome Ave |
$40.51 | 21,444 | 3,634 |
|
Arms Acres Inc
3584 Jerome Ave. |
$63.89 | 19,127 | 4,785 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$55.43 | 17,274 | 13,977 |
|
Counseling Services Of New York Llc
911 Walton Ave |
$55.00 | 16,032 | 4,138 |
|
The Children'S Aid Society
910 East 172Nd Street |
$127.67 | 15,557 | 3,117 |
|
New York Foundling
170 Brown Pl |
$142.35 | 14,977 | 5,279 |
|
Venkata Ramana Ravi
423 E 138Th St |
$1.26 | 14,921 | 14,119 |
|
Montefiore Medical Center
1510 Waters Pl |
$32.90 | 14,523 | 1,848 |
|
Success Counseling Services, Inc.
139 W 168Th Street |
$83.52 | 13,638 | 6,699 |
|
Domingo Antonio Santana
2869 Grand Concourse |
$1.05 | 13,078 | 13,051 |
|
Emilio Ivan Perez
1624 University Blvd |
$0.71 | 12,990 | 12,496 |
|
Manuel Eligio Mejia
1650 Grand Concourse |
$0.40 | 11,830 | 11,688 |
|
Yohanna Maria Olivo Mercedes
2676 Grand Concourse |
$0.83 | 10,885 | 10,673 |
|
Rising Ground. Inc
1529 Williamsbridge Rd |
$158.59 | 10,082 | 3,379 |
|
Stephan B Simons
1211 White Plains Rd |
$1.11 | 9,733 | 9,017 |
|
1211 Wpr Medical Services Pc
1211 White Plains Rd |
$3.73 | 9,707 | 8,666 |
|
Patricia A Murphy
1065 Southern Blvd |
$83.04 | 9,575 | 2,495 |
|
Carmen Ybelice Familia
1276 Fulton Ave Fl 3 |
$0.96 | 8,876 | 8,581 |
|
Argus Community, Inc.
830 Forest Avenue, 1St Floor |
$57.63 | 8,324 | 1,401 |
|
Argus Community, Inc.
830 Forest Avenue |
$161.26 | 7,549 | 489 |
|
Safe Health Medical Care Pllc
1381 Castle Hill Ave |
$7.12 | 7,519 | 7,405 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$70.09 | 7,364 | 4,853 |
|
Marcial Jimenez
320 E 188Th St |
$0.67 | 7,160 | 7,157 |
|
Manuel Franco
1276 Fulton Ave |
$0.35 | 7,138 | 7,128 |
|
Samaritan Daytop Village, Inc.
2778 Third Avenue |
$64.35 | 6,932 | 510 |
|
Carmen Lazala
2676B Grand Concourse |
$0.52 | 6,913 | 6,886 |
|
Luisa A Perez
3054 Godwin Ter |
$0.51 | 6,367 | 6,253 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Bronx, NY is $38.59 per claim, based on 6,144,578 claims from 254 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 Bronx, NY?
There are 254 Medicaid providers offering Substance Abuse Treatment related services in Bronx, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Bronx, NY?
Medicaid reimbursement for Substance Abuse Treatment in Bronx, NY ranges from $0.00 to $275.00 per claim, with an average of $38.59. 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
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 Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims
Vaccines & Immunizations
Avg $14.84
3,068,629 claims