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 |
|---|---|---|---|
|
Marianne Dietrich
3380 Reservoir Oval |
$0.00 | 13 | 13 |
|
Sowmya Stephen
1621 Eastchester Rd |
$18.46 | 13 | 13 |
|
Julius Johnson
2015 Grand Concourse |
$0.00 | 13 | 13 |
|
University Medical Office, Pllc
2270 University Ave |
$10.00 | 13 | 13 |
|
Marcia Pehr
1262 Boston Rd |
$0.15 | 13 | 12 |
|
Sheldon Medical Care,Pc
2435 Jerome Ave |
$0.00 | 13 | 13 |
|
Ashley Wallace Wu
3444 Kossuth Ave |
$3.69 | 13 | 13 |
|
Subhas Chandra
1211 White Plains Rd |
$1.85 | 13 | 12 |
|
Asiya Sarasa Tschannerl
3544 Jerome Avenue |
$0.00 | 14 | 14 |
|
Nina Castelnuovo
111 E 210Th St |
$0.00 | 14 | 14 |
|
Anuj Bhardwaj
1500 Astor Ave |
$19.84 | 14 | 14 |
|
Kabita Ghosh-Hazra
654 Burke Ave |
$31.59 | 17 | 17 |
|
Zhigang Zhou
4422 3Rd Ave |
$5.00 | 20 | 20 |
|
Serena Parra
600 E 233Rd St |
$58.38 | 21 | 18 |
|
Amy S Ciner
1621 Eastchester Rd |
$7.03 | 24 | 24 |
|
Nathalie Toribio
2676 Grand Concourse |
$0.00 | 24 | 24 |
|
Abigail Felix
2676 Grand Concourse Ste B |
$0.00 | 24 | 24 |
|
Hildred Machuca
871 Prospect Avenue |
$12.22 | 25 | 25 |
|
Faye Kokotos
Mmc - Family Care Center |
$7.76 | 25 | 25 |
|
Martha Shih Wong
860 Grand Concourse |
$0.80 | 25 | 25 |
|
Aisha Kimberly Prim
2780 Reservoir Ave |
$4.80 | 25 | 25 |
|
Daniela Sanchez
234 E 149Th St |
$275.00 | 29 | 29 |
|
Mumtaz Kaizer Master
4422 3Rd Ave |
$5.15 | 33 | 29 |
|
Natasha Delia Ramsey
3380 Reservoir Oval E |
$0.00 | 33 | 32 |
|
Starling Diagnostics Llc
1480 East Ave |
$161.15 | 36 | 35 |
|
Cruz & Herrera Mds Pc
375 E Fordham Rd |
$0.00 | 36 | 36 |
|
Concourse Pediatrics
1001 Grand Concourse Apt 1E |
$20.00 | 37 | 37 |
|
Armel Dogruluk
1211 White Plains Rd |
$1.11 | 38 | 37 |
|
Sanjana Babbar
234 E 149Th St |
$4.61 | 38 | 37 |
|
Pauline Vo
57 E Mount Eden Ave |
$0.11 | 40 | 40 |
|
Sandra F Braganza
Mmg - Chcc |
$22.98 | 41 | 41 |
|
Jose Elias De La Cruz Fernandez
2270 University Ave |
$0.00 | 42 | 42 |
|
Abigail Ionie Caesar
915 Westchester Ave |
$130.64 | 43 | 16 |
|
Jennifer K Ludwig
3584 Jerome Ave |
$55.42 | 43 | 26 |
|
Babu Patel Md P.C.
1963A Daly Ave |
$0.00 | 46 | 46 |
|
Janel Elise L'Official
1055 E Tremont Ave |
$0.32 | 48 | 48 |
|
James Yuan
1 Fordham Plz |
$13.94 | 51 | 51 |
|
Teresa Jean Pelletier
3400 Bainbridge Ave Fl 8 |
$11.87 | 51 | 51 |
|
Victoria R Smith
3584 Jerome Ave |
$55.82 | 53 | 26 |
|
Asmaa Mohamed Hashim
4234 Bronx Boulevard |
$15.76 | 57 | 57 |
|
Ruben Uy Carvajal
2271 Grand Ave |
$0.00 | 58 | 58 |
|
Sophia Lubin
2676 Grand Concourse |
$9.70 | 61 | 61 |
|
George Daniel Vermenton
1055 E Tremont Ave |
$0.16 | 61 | 61 |
|
Deborah Vanessa York
890 Prospect Ave |
$12.71 | 63 | 63 |
|
Ada Bar
Mmg - Co-Op City |
$26.14 | 63 | 63 |
|
Jagdish G Patel
Mmg - Bronx East |
$25.71 | 65 | 65 |
|
Dario Roman Castellanos
391 E 149Th St |
$2.58 | 66 | 66 |
|
Rachel Ariel Stein Berman
3444 Kossuth Ave |
$10.05 | 66 | 66 |
|
Yong Kim
1400 Pelham Pkwy S |
$10.68 | 68 | 68 |
|
Jacqueline M Kelderhouse
1425 Walton Ave |
$18.61 | 68 | 68 |
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