Average Medicaid Substance Abuse Treatment Payments in Elmhurst, NY: $28.14
Avg. Paid
$28.14
Range
$0.00 – $50.15
Total Claims
205,988
Providers
31
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 Elmhurst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
New York City Health And Hospitals Corporation
79-01 Broadway |
$39.47 | 122,848 | 14,807 |
|
Alain A Sosa
4008 Forley Street |
$4.55 | 24,435 | 20,733 |
|
Eliseo A Go
8708 Justice Ave |
$36.58 | 19,066 | 1,815 |
|
Advanced Pediatrics, Pc
9436 59Th Ave |
$0.00 | 5,950 | 5,617 |
|
Global Medical Care Associates Pllc
4023 74Th St |
$0.01 | 3,857 | 3,847 |
|
Edgar A Flores-Castillo
4053 75Th St |
$0.17 | 3,662 | 3,659 |
|
Mohammed M Rahman
4023 74Th St |
$0.00 | 3,403 | 3,396 |
|
Annette Perea
4008 Forley St |
$4.93 | 3,183 | 3,176 |
|
Weihong Yan
8311 Queens Blvd |
$12.20 | 3,102 | 3,100 |
|
Candida Catucci
4008 Forley St |
$0.47 | 2,953 | 2,880 |
|
Qurrath U Ain
79 01 Broadway |
$0.56 | 2,666 | 2,665 |
|
Qikai Yao
4236 82Nd St |
$7.25 | 2,548 | 2,543 |
|
Pediatrics Specialties Of Queens
5917 Junction Blvd |
$0.02 | 2,205 | 2,204 |
|
Liwen Huang
8409 Queens Blvd # 1A |
$3.34 | 1,515 | 1,515 |
|
Carlos Manuel Gonzalez
4107 76Th St |
$1.18 | 1,177 | 1,152 |
|
Jing Xu
8708 Justice Ave Apt 1E |
$11.79 | 822 | 817 |
|
True Medical Care Pc
7517 41St Ave |
$38.44 | 573 | 525 |
|
Luz Delia Ares
4107 76Th St |
$0.91 | 319 | 314 |
|
Candida Catucci Md Pc
4008 Forley St |
$0.00 | 305 | 289 |
|
Utpal Chowdhury
7517 41St Ave |
$7.20 | 263 | 236 |
|
Kalpana Rashmin Master
8823 Justice Avenue |
$22.78 | 222 | 222 |
|
Yili Huang
8118 Broadway |
$1.53 | 197 | 197 |
|
Long Island Consultation Center, Inc.
9131 Queens Blvd Ste 222 |
$50.15 | 148 | 54 |
|
Richard Hallenbeck Physician Pllc
8708 Justice Ave Ste Cm |
$36.58 | 125 | 125 |
|
Vivienne Lopez Cabreza
7901 Broadway |
$0.00 | 122 | 122 |
|
Daniel V Lowe
8615 Queens Blvd |
$39.02 | 94 | 26 |
|
Amar B. Ashraf
7901 Broadway |
$0.41 | 88 | 80 |
|
Kyawt Thandar Aung
5223 Van Loon St |
$8.02 | 85 | 85 |
|
Stella Pinhas
9412 59Th Ave Unit E5 |
$0.80 | 25 | 25 |
|
Nguyet Thuy Duong
8635 Queens Blvd Ste 1B |
$7.93 | 15 | 13 |
|
Muhammad J.S.Khan Md,Pc
4018Case Street, |
$0.00 | 15 | 15 |
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 Elmhurst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Elmhurst, NY is $28.14 per claim, based on 205,988 claims from 31 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 Elmhurst, NY?
There are 31 Medicaid providers offering Substance Abuse Treatment related services in Elmhurst, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Elmhurst, NY?
Medicaid reimbursement for Substance Abuse Treatment in Elmhurst, NY ranges from $0.00 to $50.15 per claim, with an average of $28.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $20.44
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Avg $107.97
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Avg $21.52
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Avg $38.59
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Avg $34.24
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Other Procedures in Elmhurst, NY
Office Visit
Avg $64.45
2,285,070 claims
Physical Therapy
Avg $33.44
894,667 claims
Blood Work & Lab Tests
Avg $8.15
883,814 claims
Vaccines & Immunizations
Avg $13.86
562,216 claims
Dental Cleaning & Exam
Avg $29.12
403,178 claims
Psychiatric Evaluation
Avg $123.56
288,848 claims
Emergency Room Visit
Avg $153.64
259,838 claims
Eye Exam
Avg $38.26
188,529 claims