Average Medicaid Substance Abuse Treatment Payments in Buffalo, NY: $44.27
Avg. Paid
$44.27
Range
$0.00 – $3,206
Total Claims
1,684,325
Providers
45
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sisters Of Charity Hospital Of Buffalo New York
2157 Main St |
$27.82 | 959,902 | 62,440 |
|
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc
254 Virginia St |
$24.87 | 331,325 | 17,495 |
|
The Community Action Organization Of Western New York, Inc.
1237 Main St |
$23.48 | 112,441 | 13,545 |
|
Bestself Behavioral Health, Inc.
255 Delaware Ave |
$23.29 | 89,020 | 4,431 |
|
Erie County Medical Center Corporation
462 Grider St |
$74.04 | 51,071 | 17,059 |
|
Jeffery Jerome Grace
2949 Elmwood Ave Ste 201 |
$27.22 | 41,297 | 2,868 |
|
Paul F Updike
2157 Main St |
$26.43 | 38,094 | 3,280 |
|
Gateway-Longview
605 Niagara St |
$106.03 | 13,349 | 2,943 |
|
Child And Family Services Of Erie County
330 Delaware Ave |
$94.28 | 8,769 | 2,893 |
|
Scott Stewart
1237 Main St |
$26.86 | 7,881 | 669 |
|
Cazenovia Recovery Systems, Inc.
486 N Legion Dr |
$757.37 | 6,036 | 1,265 |
|
Horizon Village
3020 Bailey Ave |
$3,206 | 5,754 | 5,097 |
|
Cazenovia Recovery Systems, Inc.
200 Albany St |
$465.37 | 3,737 | 665 |
|
Ehs, Inc.
206 S Elmwood Ave |
$135.12 | 3,462 | 2,362 |
|
Save The Michaels Of The World, Inc.
737 Delaware Ave Ste 216 |
$205.54 | 2,194 | 159 |
|
Catherine Phelan Gallagher
254 Hempstead Ave |
$87.87 | 2,059 | 458 |
|
Cazenovia Recovery Systems, Inc.
923 Sycamore St |
$216.40 | 1,092 | 100 |
|
Homespace Corp.
1030 Ellicott St |
$143.76 | 856 | 314 |
|
Mark Donald Fisher
1207 Delaware Ave Ste 490 |
$87.25 | 849 | 246 |
|
Bestself Behavioral Health, Inc
232 Hempstead Ave # 262 |
$132.24 | 788 | 28 |
|
Christine E Scime
2924 Main St |
$8.60 | 707 | 705 |
|
April Starr
155 Knowlton Ave |
$65.60 | 487 | 167 |
|
Susan M Trzaska
237 Linwood Ave |
$10.77 | 486 | 486 |
|
Amanda Marie Barnhard
237 Linwood Ave Fl 1 |
$9.95 | 484 | 483 |
|
Pamela Vida London
237 Linwood Ave |
$12.18 | 295 | 295 |
|
Emily S Friedan
2924 Main St |
$6.58 | 288 | 288 |
|
Bestself Behavioral Health, Inc.
254 Franklin St |
$167.60 | 267 | 267 |
|
Catholic Charities Of Buffalo
76 W. Humboldt Parkway |
$148.79 | 238 | 192 |
|
Mohammed Momin Ullah
2200 Genesee St |
$0.00 | 142 | 141 |
|
Richard P. Maniace
2924 Main St |
$4.66 | 132 | 132 |
|
Rachel Beth Kaufman
237 Linwood Ave |
$10.60 | 124 | 124 |
|
Fatai Adesina Gbadamosi
206 S Elmwood Ave |
$32.18 | 113 | 94 |
|
Robert Edward Kaplan
237 Linwood Ave |
$9.88 | 99 | 99 |
|
Laurie Kasnicki
515 Abbott Rd |
$10.58 | 81 | 81 |
|
James C Rusk
3 Gates Cir Fl 8 |
$0.00 | 68 | 38 |
|
Keaira Najae Aiken
800 Hertel Ave Ste 100 |
$7.01 | 56 | 56 |
|
Fahim Tazwar
462 Grider St |
$0.00 | 53 | 53 |
|
Sabrina Zanowick Meyer
219 Bryant St. |
$4.71 | 39 | 39 |
|
Courtney Mercer
237 Linwood Ave Fl 1 |
$11.24 | 38 | 38 |
|
Kathryn Margaret Mendez
237 Linwood Ave Fl 1 |
$18.65 | 37 | 36 |
|
Denise Tansiongco Sartori
2924 Main St |
$8.00 | 33 | 33 |
|
Emily Kirchner
Elm And Carlton St |
$36.15 | 30 | 25 |
|
Golam Mostafa Waris
2200 Genesee St |
$0.00 | 26 | 26 |
|
James D Stoltzfus
184 Barton St |
$19.60 | 13 | 13 |
|
Jewell Ann Henley
100 High St |
$15.69 | 13 | 12 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Buffalo, NY is $44.27 per claim, based on 1,684,325 claims from 45 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 Buffalo, NY?
There are 45 Medicaid providers offering Substance Abuse Treatment related services in Buffalo, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Buffalo, NY?
Medicaid reimbursement for Substance Abuse Treatment in Buffalo, NY ranges from $0.00 to $3,206 per claim, with an average of $44.27. 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
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims
Ambulance Transport
Avg $114.37
601,138 claims