Average Medicaid Substance Abuse Treatment Payments in Espanola, NM: $170.43
Avg. Paid
$170.43
Range
$9.58 – $189.59
Total Claims
124,888
Providers
22
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 Espanola, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Darrins Place Inc
720 E Hacienda St |
$189.59 | 108,266 | 5,354 |
|
Nicole Camille Archuleta
1227 N Railroad Ave Ste C |
$44.59 | 3,432 | 2,430 |
|
Charmaine Cata
1227 N Railroad Ave Ste C |
$41.41 | 2,483 | 1,691 |
|
Sherrijean M Serna
1114 Plaza Del Norte Ste B |
$77.57 | 1,959 | 1,846 |
|
Suzanne Lujan
807 Calle Chamisal |
$16.93 | 1,756 | 1,327 |
|
Floyd Zamora
2010 Industrial Park Rd |
$9.58 | 1,362 | 355 |
|
Abbas Khan
206 S Coronado Ave |
$73.81 | 1,323 | 1,112 |
|
Keith Bryan Haynie
206 S Coronado Ave |
$50.68 | 781 | 775 |
|
Elijah Meason
807 Calle Chamisal |
$16.09 | 724 | 493 |
|
El Centro Family Health
2010 Industrial Park Rd |
$167.75 | 641 | 536 |
|
Tamara R Romero
807 Calle Chamisal |
$14.85 | 453 | 353 |
|
Brittany Garcia
807 Calle Chamisal |
$15.30 | 379 | 343 |
|
Christopher Olivas
807 Calle Chamisal |
$14.19 | 379 | 335 |
|
Kayleigh C Gutierrez
807 Calle Chamisal |
$18.18 | 305 | 278 |
|
Geraldine Lucero Torres
807 Calle Chamisal |
$13.72 | 145 | 128 |
|
Michael Higbee
807 Calle Chamisal |
$16.30 | 136 | 89 |
|
El Centro Family Health
538 N Paseo De Onate |
$69.30 | 133 | 133 |
|
Geralda Lambert
612 N Paseo De Onate |
$41.45 | 86 | 82 |
|
Andrew Gallegos
1000 N Paseo De Onate |
$14.34 | 65 | 38 |
|
Loretta Bifulco
904 Fairview Dr. |
$163.40 | 34 | 34 |
|
Shaia D'Ourso
1302 Calle De La Merced |
$80.26 | 31 | 12 |
|
Jamie Arguello
2010 Industrial Park Rd |
$162.25 | 15 | 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 Espanola, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Espanola, NM is $170.43 per claim, based on 124,888 claims from 22 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 Espanola, NM?
There are 22 Medicaid providers offering Substance Abuse Treatment related services in Espanola, NM according to public payment data.
What is the price range for Substance Abuse Treatment in Espanola, NM?
Medicaid reimbursement for Substance Abuse Treatment in Espanola, NM ranges from $9.58 to $189.59 per claim, with an average of $170.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $94.34
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Springfield, MA
Avg $20.44
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Baltimore, MD
Avg $107.97
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Avg $37.53
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Worcester, MA
Avg $21.52
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Bronx, NY
Avg $38.59
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Albuquerque, NM
Avg $34.24
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Other Procedures in Espanola, NM
Office Visit
Avg $107.80
190,628 claims
Blood Work & Lab Tests
Avg $14.14
142,368 claims
Emergency Room Visit
Avg $151.28
129,106 claims
Home Health Visit
Avg $74.52
85,291 claims
Psychiatric Evaluation
Avg $94.68
51,096 claims
Physical Therapy
Avg $43.42
47,381 claims
Urinalysis & Urine Tests
Avg $6.55
37,849 claims
X-Ray
Avg $66.85
27,014 claims