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 |
|---|---|---|---|
|
Yixiu Zheng
220 E 63Rd St Apt Lh |
$7.50 | 12 | 12 |
|
Cornell Univ Med College
56 W 45Th St |
$157.50 | 12 | 12 |
|
Christina Lee Chou
3332 Broadway |
$0.00 | 13 | 13 |
|
Laura Ann Hartlieb
177 Fort Washington Ave |
$0.00 | 13 | 13 |
|
Emad Adly Ghaly
1901 1St Ave |
$9.29 | 14 | 14 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$4.85 | 15 | 15 |
|
Chinatown True Care Medical Pllc
139 Centre St Ste 711 |
$51.19 | 15 | 15 |
|
Toni C. Butler
1617 3Rd Ave |
$0.00 | 15 | 15 |
|
Susan Zhao
139 Centre St Ste 702 |
$0.00 | 17 | 17 |
|
Miguel Avila-Rondon
982 Columbus Ave |
$0.59 | 17 | 17 |
|
Socrates Gustavo Roedan
395 Fort Washington Ave |
$0.00 | 17 | 16 |
|
Kristina Osorio
8 E 3Rd St |
$214.48 | 18 | 13 |
|
Jewish Board Of Family And Children'S Services, Inc
463 7Th Ave Fl 18 |
$33.33 | 20 | 13 |
|
Paul Promadhattvedi
255 Fort Washington Ave Apt 41 |
$0.00 | 25 | 25 |
|
Pediatrics 2000At 207 Street Pllc
515 W 207Th St |
$0.00 | 26 | 26 |
|
Mih Experience Ltd
311 Audubon Ave |
$214.99 | 26 | 26 |
|
Yi-Chi Huang
4624 Broadway |
$0.00 | 26 | 14 |
|
Wendy Virginia Quinones
317 E 64Th St |
$6.87 | 27 | 27 |
|
Elsa Jacqueline Reyes
75 E 116Th St |
$0.00 | 27 | 27 |
|
Natalie Almonte
3421 Broadway |
$0.00 | 29 | 29 |
|
Ari Benjamin
1727 Amsterdam Ave |
$0.22 | 29 | 29 |
|
Joel E Rose
3618 Broadway |
$4.12 | 34 | 34 |
|
Jose Pablo Febrillet
3410 Broadway |
$0.00 | 37 | 36 |
|
Mariely Fernandez
35 E 110Th St Fl 4 |
$19.52 | 37 | 12 |
|
Angelica Gorman
8 E 3Rd St |
$199.14 | 38 | 12 |
|
Fort Washington Medical Office Pc
65 Fort Washington Ave |
$0.00 | 40 | 40 |
|
Heritage Health And Housing, Inc
1727 Amsterdam Ave |
$7.07 | 41 | 39 |
|
Ashok Ghooi
1980 3Rd Ave |
$5.96 | 47 | 47 |
|
Stanley Bart Cohen
128 Post Ave |
$8.98 | 49 | 49 |
|
Leah Virginia Imobersteg
165 Broadway Fl 23 |
$3.65 | 50 | 50 |
|
Hamilton Madison House, Inc
253 South St |
$55.00 | 51 | 12 |
|
Alejandra Bedoya
3959 Broadway # Chn-7 |
$0.17 | 53 | 52 |
|
Yolanda Tate
190 Mercer St Fl 4 |
$31.64 | 55 | 12 |
|
Sandra Noel
1000 10Th Ave Ste 2T |
$0.00 | 57 | 57 |
|
Catholic Guardian Society And Home Bureau
488 Madison Ave Ste 3-103 |
$114.11 | 58 | 31 |
|
Velma Garnham
2406 Amsterdam Ave |
$30.74 | 59 | 30 |
|
New York City Health And Hospital Corporation
160 Water St Fl 9 |
$80.00 | 60 | 60 |
|
Sheltering Arms Children And Family, Inc
305 7Th Ave |
$46.89 | 62 | 62 |
|
Exodus Transitional Community, Inc.
2276 3Rd Ave |
$161.63 | 68 | 64 |
|
Hemant Patel
2255 Adam Clayton Powell Jr Blvd # 2257 |
$23.66 | 70 | 70 |
|
Michael Correa
1302 Amsterdam Ave |
$0.00 | 74 | 74 |
|
Leonid Bukhman
2256 2Nd Ave Fl 2 |
$8.72 | 78 | 68 |
|
Michelle Campbell
2191 3Rd Ave |
$29.36 | 79 | 13 |
|
Chdfs Inc
307 W 38Th St |
$115.55 | 85 | 12 |
|
Ewa Janusz-Berezowska
2195 Third Avenue |
$49.92 | 86 | 26 |
|
Elizabeth Garcia
3421 Broadway |
$0.00 | 91 | 91 |
|
Hari Polavarapu
15 William St |
$7.57 | 91 | 91 |
|
Maricela Garcia
279 E 3Rd St |
$1.13 | 98 | 98 |
|
Center For Alternative Sentencing And Employment Services
2090 7Th Ave |
$44.05 | 100 | 89 |
|
Diana Munoz
111 W 110Th St |
$0.00 | 102 | 94 |
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.
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 New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims