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Based on public Medicaid payment data.

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

Other Procedures in Bronx, NY