Based on public Medicaid payment data.

Average Medicaid Substance Abuse Treatment Payments in Philadelphia, PA: $57.23

Avg. Paid

$57.23

Range

$0.00 – $5,867

Total Claims

5,131,687

Providers

140

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
Bridget Katherine Peterson 833 Chestnut St	$0.00	13	13
Janet Jinyoung Ko 5401 Old York Rd	$51.67	13	12
Bethany Cottingham Goins 800 Walnut Street	$17.71	14	14
Elizabeth Clement 3400 Spruce St	$18.48	14	13
Leonard Arthur Means 1315 Windrim Ave	$28.72	15	15
Samuel Joseph Needles 7901 Bustleton Ave Ste 100	$0.00	18	16
Lisa Vitti 255 S 17Th St Ste 1010	$27.48	19	14
Angela Smothers 313 S 16Th St	$95.30	24	12
Adi Hirshberg 3400 Spruce St	$28.28	29	29
Michelle Elizabeth Buchholz 1900 N 9Th St	$10.29	42	24
Rebecca Ruiz 6117 Ditman St	$32.42	46	41
Yelena Y Shrayber 10160 Bustleton Ave Ste B	$0.00	49	48
Asociacion De Puertorriquenos En Marcha, Inc. 4301 Rising Sun Ave	$0.00	52	14
Madeline Rabin 630 S 48Th St Apt 2R	$93.99	66	25
Mary Rebecca Deagostino-Kelly 3701 Market St Fl 3	$19.25	69	68
Prevention Point Philadelphia 2913-15 Kensington Ave	$78.75	71	71
Yvonne D Prioleau 801 Spruce St	$14.55	92	89
Julie H Linden 227 E Gowen Ave	$75.88	104	38
Mindful Essence Therapeutic Services, Llc 2722 N Hancock St - 304	$93.76	150	59
Jerome Hollomon 743 N Holly St	$79.17	161	48
Re-Enter, Inc. 3331 Powelton Ave	$1,299	163	52
Mazzoni Center 1348 Bainbridge St	$36.92	167	154
Miriam Fife 313 S 16Th St	$93.93	169	50
Centralized Comprehensive Human Services, Inc. 112 N Broad St	$0.00	205	64
The Childrens Hospital Of Philadelphia Practice Association 4601 Market St Fl 3	$73.06	226	132
Celeste P Durnwald 800 Walnut St Fl 11	$19.18	229	222
Benjamin Robert Tavares 4725 Chester Ave Apt B2	$78.75	249	66
Resouces For Human Development, Inc. 6400 Germantown Ave	$487.20	256	12
Leah Eboso Ahoya 3401 N Broad St	$48.19	256	243
Leroy Ambrose 2514 N. Broad St.	$96.71	257	65
Nur Abir Greene 8500 Germantown Ave Fl 2	$96.57	280	154
New Vitae, Inc. 27 S. 55Th Street	$267.60	295	119
Sabrina N Sukhan 801 Spruce St.	$18.28	359	358
Betsy Batejan 1427 Vine St	$41.68	377	373
Ophelia Medical Group Fl, P.A. 161 Cecil B Moore Ave Apt 204	$284.38	453	453
Interim House Inc 333 W Upsal St	$0.00	462	61
Dori Even-Shoshan 1200 Callowhill St	$198.88	473	354
Minsec Treatment Center 3768 L St	$0.00	520	107
Einstein Practice Plan, Inc. 5501 Old York Rd	$34.83	534	433
Nicole Cohen 313 S 16Th St	$78.77	563	142
Ying Shan 756 Adams Ave	$86.95	645	307
Susan Lankin-Watts 313 S 16Th St # Pa	$77.28	658	209
Kensington Hospital Inpatient Non-Hospital Detoxification 136 Diamond St	$3,992	728	716
Resources For Human Develpment, Inc 5201 Old York Road	$0.00	729	341
Sankofa Healing Studio 1415 N Broad St Ste 102	$95.14	731	187
Milestone Rehabilitation, Llc 1701 Grant Avenue	$0.00	732	499
Thomas Jefferson University 1233 Locust St	$0.00	886	322
West Philadelphia Community Mh Consortium Inc. 451 S University Ave	$0.00	909	214
Frances Hahn 313 S 16Th St	$89.36	912	244
Lauren Elizabeth Byck 313 S 16Th St	$84.39	914	280

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Philadelphia, PA is $57.23 per claim, based on 5,131,687 claims from 140 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 Philadelphia, PA?

There are 140 Medicaid providers offering Substance Abuse Treatment related services in Philadelphia, PA according to public payment data.

What is the price range for Substance Abuse Treatment in Philadelphia, PA?

Medicaid reimbursement for Substance Abuse Treatment in Philadelphia, PA ranges from $0.00 to $5,867 per claim, with an average of $57.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Substance Abuse Treatment Payments in Philadelphia, PA: $57.23

Providers Offering Substance Abuse Treatment in Philadelphia, PA

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 Philadelphia, PA

Office Visit

Psychiatric Evaluation

Emergency Room Visit

X-Ray

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)