Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in New York, NY: $51.51

Avg. Paid

$51.51

Range

$0.00 – $480.84

Total Claims

3,263,067

Providers

298

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 New York, NY

Provider	Avg. Paid	Claims	Patients
Ses Operating Corp 2367 -69 Second Ave	$33.27	313,295	40,707
Greenwich House Inc 122 West 27Th Street	$34.12	266,006	42,315
West Midtown Management Group Inc 311 W 35Th St	$31.26	260,669	33,674
Lower Eastside Service Center, Inc. 46 E Broadway	$33.69	194,409	18,734
Startcare, Inc. 2191 3Rd Ave	$31.60	115,476	12,852
Startcare, Inc. 119 West 124Th Street	$33.24	109,197	13,918
St Lukes Roosevelt Hospital Center 1000 10Th Ave	$98.81	107,155	18,209
Startcare, Inc. 119 West 124Th Street	$31.60	98,826	11,754
New York City Health And Hospitals Corporation 462 First Avenue	$45.99	93,339	19,846
Startcare, Inc. 2406 Amsterdam Ave	$31.06	92,471	10,343
Joel A Nathan 515 Madison Ave	$31.35	91,132	4,912
Revcore Recovery Center Of Manhattan, Llc 394 Broadway Fl 4	$64.65	88,188	22,971
Michael Siegell 750 Park Ave Ste C	$34.18	80,778	9,992
The Educational Alliance, Inc. 25-29 Ave D	$312.78	74,543	10,617
Lower Eastside Service Center 46 E Broadway	$31.31	59,756	5,244
Center For Comprehensive Health Practice Inc 35 E 110Th St Fl 4	$33.59	56,527	11,762
Upper Manhattan Mental Health Center, Inc. 1727 Amsterdam Ave	$56.49	50,547	10,020
Lafayette Medical Approach Llc 233 Lafayette St	$28.92	49,618	5,417
Carnegie Hill Institute, Inc. 116 E 92Nd St	$31.82	48,742	4,943
New York City Health And Hospitals Corporation 1901 1St Ave	$41.52	45,363	8,171
Project Renewal Inc 8 East Third Street	$140.43	37,842	4,652
The New York And Presbyterian Hospital 525 E 68Th St	$37.01	31,895	4,615
University Settlement Society Of New York 184 Eldridge St	$124.67	30,128	7,048
Greenhope Services For Women, Inc. 435 E 119Th St	$190.98	28,647	1,417
Beth Israel Medical Center First Avenue & 16Th Street	$14.18	26,035	3,709
Create, Inc. 121-123 West 111Th Street	$120.96	23,997	1,213
Arlene Theresa Adu-Gyamfi 2369 2Nd Ave	$56.36	23,407	3,461
Patricia Ingrid West 2367-69 Second Ave	$56.08	22,421	3,199
Lawrence David Mass 435 2Nd Ave	$34.61	22,033	3,115
Argus Community, Inc. 507 W 145Th St	$53.25	21,757	4,398
Argus Community, Inc. 2015-25 Madison Avenue	$167.69	20,622	1,367
Community Assistance Resources & Extended Services Inc 465 Grand St	$145.81	20,377	5,540
Realization Center, Inc. 19 Union Sq W	$132.23	19,523	14,250
Sheltering Arms Children And Family Services, Inc. 305 7Th Ave Fl 4	$121.77	19,436	5,484
Martha Maria Valdivia 629 W 185Th St	$1.56	15,707	15,317
Joseph Gallo 7 Gouverneur Slip East	$32.53	14,559	986
Valsa Madhava 15 E 40Th St Rm 201	$32.68	14,454	1,417
Cheuk Wai Lau 2 Mott Street	$0.32	13,888	13,842
Melida Delcina Knibbs 521 W 181St St	$0.95	13,671	11,559
Palladia Inc 177 East 122Nd Street	$55.68	13,185	6,597
Parallax Center, Inc. 145 E 32Nd St Fl 6	$188.99	12,656	2,827
Argus Community, Inc. 202-204 Edgecombe Avenue	$161.32	11,593	650
Jose A Goris 435 Fort Washington Ave	$0.96	11,395	10,947
Startcare, Inc. 119 W 124Th St	$27.85	11,391	2,144
Federico Zuniga 462 1St Ave	$31.70	11,308	1,802
Cheng A Gonjon 9 Sickles St	$0.72	11,060	9,352
Marino Torres 135 Haven Ave	$3.20	10,531	10,519
Yong Kang He 77 Bowery Fl 3F	$3.52	9,895	9,873
Muhammed M Haque 3418 Broadway	$0.02	9,174	8,561
Exponents 2 Washington St	$55.94	7,990	2,147

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 New York, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in New York, NY is $51.51 per claim, based on 3,263,067 claims from 298 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 New York, NY?

There are 298 Medicaid providers offering Substance Abuse Treatment related services in New York, NY according to public payment data.

What is the price range for Substance Abuse Treatment in New York, NY?

Medicaid reimbursement for Substance Abuse Treatment in New York, NY ranges from $0.00 to $480.84 per claim, with an average of $51.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in New York, NY: $51.51

Providers Offering Substance Abuse Treatment in New York, NY

What to Expect: Substance Abuse Treatment

Cost Components

Frequently Asked Questions

Substance Abuse Treatment in Other Cities

Hartford, CT

Phoenix, AZ

Springfield, MA

Baltimore, MD

Portland, OR

Worcester, MA

Bronx, NY

Albuquerque, NM

Other Procedures in New York, NY

Home Health Visit

Office Visit

Blood Work & Lab Tests

Psychiatric Evaluation

Physical Therapy

Emergency Room Visit

Case Management Services

Eye Exam