Average Medicaid Substance Abuse Treatment Payments in Jackson Heights, NY: $3.21
Avg. Paid
$3.21
Range
$0.00 – $140.73
Total Claims
69,364
Providers
50
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 Jackson Heights, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sergio Martinez
3711 88Th St |
$0.02 | 12,208 | 10,887 |
|
Rafael Rodriguez
9001A Roosevelt Ave |
$0.60 | 8,033 | 8,017 |
|
Ferdous Khandker
7017 37Th Ave |
$0.30 | 6,492 | 6,434 |
|
9317 Medical Office Pc
9317 Roosevelt Ave |
$0.03 | 6,112 | 5,447 |
|
Alvaro Ramirez
8818 37Th Ave |
$0.00 | 3,657 | 3,654 |
|
Jose E Ortiz
7916 37Th Ave |
$0.00 | 2,992 | 2,989 |
|
International Pediatrics Plus
9320A Roosevelt Avenue |
$1.17 | 2,974 | 2,974 |
|
Jose M Mendez Md Pc
7902 Roosevelt Ave |
$0.00 | 2,301 | 2,298 |
|
Nadia A Martinez De Pimentel
3744 75Th St |
$0.57 | 2,020 | 2,017 |
|
Ferdausi Hassan
3743 76Th St |
$2.57 | 1,989 | 1,977 |
|
Alvaro Ramirez Physician Pc
8818 37Th Ave |
$0.00 | 1,741 | 1,739 |
|
Ramon R Pimentel
3744 75Th St |
$0.68 | 1,730 | 1,728 |
|
Jaime F. Roman
3751 91St St |
$0.47 | 1,380 | 1,365 |
|
Richard L Francisco
9320A Roosevelt Ave Fl 2 |
$0.00 | 1,225 | 1,225 |
|
Nyc Local Medical Care P.C.
7134 Roosevelt Ave |
$39.03 | 1,165 | 1,118 |
|
Paul Edward Gonzalez
3540 82Nd St Ste 1D |
$0.77 | 1,135 | 1,131 |
|
Jose A Fulgencio-Delmonte
9320A Roosevelt Ave Fl 2 |
$1.23 | 1,044 | 1,044 |
|
Hector Antonio Valencia
3752 82Nd St |
$0.83 | 937 | 927 |
|
Alveris Molina
93-15 Roosevelt Ave. |
$0.15 | 853 | 853 |
|
Jose Manuel Mendez
7902 Roosevelt Ave |
$0.21 | 829 | 812 |
|
Mehran Moarefi
8201 37Th Ave |
$0.00 | 821 | 754 |
|
Mental Health Providers Of Western Queens, Inc.
74 09 37Th Ave |
$93.01 | 730 | 345 |
|
Alvaro Alfonso Olayo
7514 37Th Ave Ste A |
$0.92 | 718 | 662 |
|
General Medical Services Of Queens Pc
3747 77Th Street |
$0.05 | 692 | 690 |
|
Junction Medical Office, P.C.
9211 35Th Ave |
$0.30 | 616 | 607 |
|
Western Care Medical Pc
7017 37Th Ave |
$0.00 | 597 | 590 |
|
Mayra S Mahadin
3757 91St St |
$2.02 | 493 | 488 |
|
Roosevelt Cardio Vascular Diagnostic, P.C.
37-51 A 90Th St |
$48.41 | 422 | 359 |
|
Rafique Bhuiyan Medical P.C.
7013 37Th Ave |
$0.00 | 395 | 332 |
|
Ella Zavolunova
3347 91St St |
$6.48 | 321 | 321 |
|
Manuel Orlando Mosquera
3435 76Th St |
$140.73 | 321 | 132 |
|
Rafique Ahmed Bhuiyan
7013 37Th Ave |
$0.00 | 291 | 291 |
|
Cuidado Medico Y Geriatrico Of Queens Pc
3744 75Th St |
$0.05 | 258 | 257 |
|
Irina Ilyayeva
3703 92Nd St Fl 1 |
$26.01 | 256 | 255 |
|
Maria Yolanda Piamonte Patron
7902 Roosevelt Ave |
$0.00 | 250 | 250 |
|
Tommy Galanis Md Pc
3540 82Nd St Ste 1D |
$0.16 | 243 | 243 |
|
Pediatric Family Mdpc
3752 82Nd St |
$0.00 | 136 | 132 |
|
Johnny Thomas
3703 92Nd St |
$29.79 | 129 | 15 |
|
Gisela Lisa Vasquez
7916 37Th Ave Fl 1 |
$0.62 | 129 | 129 |
|
Nyla Manning
3712 82Nd St # 37-22 |
$0.77 | 125 | 125 |
|
Jackson Medical, Pllc
7017 37Th Ave |
$0.30 | 119 | 115 |
|
Elvis Alfonso Md Ob-Gyn Pc
9001 Roosevelt Ave |
$7.96 | 98 | 98 |
|
Qcw Medical Services, P.C.
3747 77Th Street |
$28.68 | 87 | 70 |
|
First Choice Pediatrics, Pc
3347 91St St Apt 1J |
$43.35 | 84 | 84 |
|
Nyc Medical Of Queens Pc
7916 37Th Ave |
$0.00 | 80 | 80 |
|
Emilio B Villegas
9320A Roosevelt Ave |
$0.49 | 61 | 59 |
|
Atm Yousuf
3729 72Nd St Fl 1 |
$0.00 | 35 | 35 |
|
Eastern Park Medical Services,P.C.
9315 Roosevelt Ave |
$0.00 | 14 | 14 |
|
Zenaida Espino Santos
7610 34Th Ave |
$1.54 | 13 | 13 |
|
Junction Medical, Pc
9542 Roosevelt Ave |
$0.00 | 13 | 13 |
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 Jackson Heights, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Jackson Heights, NY is $3.21 per claim, based on 69,364 claims from 50 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 Jackson Heights, NY?
There are 50 Medicaid providers offering Substance Abuse Treatment related services in Jackson Heights, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Jackson Heights, NY?
Medicaid reimbursement for Substance Abuse Treatment in Jackson Heights, NY ranges from $0.00 to $140.73 per claim, with an average of $3.21. 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 Jackson Heights, NY
Home Health Visit
Avg $148.23
1,667,019 claims
Office Visit
Avg $47.08
977,226 claims
Psychiatric Evaluation
Avg $112.72
378,598 claims
Dental Cleaning & Exam
Avg $29.16
351,319 claims
Physical Therapy
Avg $24.76
341,985 claims
Blood Work & Lab Tests
Avg $2.06
177,893 claims
Vaccines & Immunizations
Avg $9.47
153,582 claims
Eye Exam
Avg $47.24
142,545 claims