Average Medicaid Substance Abuse Treatment Payments in San Jose, CA: $69.65
Avg. Paid
$69.65
Range
$0.00 – $570.48
Total Claims
603,596
Providers
48
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 San Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Santa Clara
2425 Enborg Ln |
$30.42 | 380,875 | 31,997 |
|
County Of Santa Clara
2101 Alexian Dr |
$16.31 | 61,561 | 4,095 |
|
Caminar
2218 North First St |
$166.83 | 23,095 | 5,626 |
|
Caminar
2202 N 1St St Ste 2210 |
$265.22 | 18,403 | 9,696 |
|
Healthright 360
1340 Tully Rd |
$221.82 | 17,454 | 7,728 |
|
Momentum For Health
2001 The Alameda |
$223.09 | 16,089 | 5,406 |
|
Veronica Marie Gonzalez
631 River Oaks Pkwy |
$0.00 | 14,161 | 4,703 |
|
Gardner Family Health Network
160 E Virginia St Ste 264 |
$285.96 | 12,973 | 6,138 |
|
Caminar
2635 Zanker Rd |
$172.44 | 8,120 | 3,861 |
|
Pathway Society Inc
9500 Malech Road |
$271.18 | 7,574 | 1,417 |
|
County Of Santa Clara
976 Lenzen Ave |
$127.98 | 6,999 | 3,617 |
|
Sendy Stephanie Artola
1485 Saratoga Ave Ste 200 |
$0.00 | 6,933 | 1,599 |
|
Andrea Moreno
2001 The Alameda |
$146.76 | 6,493 | 1,460 |
|
County Of Santa Clara
151 W Mission St |
$176.49 | 4,822 | 2,396 |
|
Pathway Society Inc
102 S 11Th St |
$333.76 | 4,698 | 770 |
|
Trisha Yen Chau
631 River Oaks Pkwy |
$0.00 | 2,655 | 1,273 |
|
County Of Santa Clara
2101 Alexian Dr Ste 110 |
$254.30 | 1,372 | 582 |
|
Courtney Jackson
1302 N 4Th St |
$0.00 | 1,364 | 629 |
|
Roxanne F Ubana
4423 Fortran Ct Ste 136 |
$0.00 | 1,236 | 514 |
|
Starlight Community Services, Inc.
1885 Lundy Ave |
$406.75 | 1,205 | 187 |
|
Telecare Corporation
425 E Santa Clara St |
$437.15 | 1,046 | 515 |
|
Gloria Yang
2010 N 1St St Ste 402 |
$0.00 | 629 | 296 |
|
Mental Health Systems, Inc.
2 N Market St Ste 300 |
$363.43 | 556 | 296 |
|
Estefania Joana Bueno
631 River Oaks Pkwy |
$0.00 | 510 | 273 |
|
County Of Santa Clara
151 W Mission St |
$198.87 | 504 | 462 |
|
Tim Thanh Nguyen
1870 Lundy Ave |
$0.00 | 324 | 324 |
|
Ayan Yousuf
160 E Virginia St Ste 280 |
$0.00 | 276 | 163 |
|
Advent Group Ministries Inc.
90 Great Oaks Blvd Ste 108 |
$231.21 | 233 | 63 |
|
Di He
1870 Lundy Ave |
$0.00 | 196 | 196 |
|
Asian Americans For Community Involvement
2400 Moorpark Ave Ste 300 |
$251.68 | 147 | 65 |
|
Serena Shong
2400 Moorpark Ave Ste 300 |
$0.00 | 144 | 142 |
|
Seneca Family Of Agencies
485 N 1St St |
$523.91 | 137 | 40 |
|
Gavin Liu
1870 Lundy Ave |
$0.00 | 126 | 126 |
|
Marisa Iyamide Smith
631 River Oaks Pkwy |
$0.00 | 95 | 42 |
|
John Tso
1870 Lundy Ave |
$0.00 | 77 | 77 |
|
Maria Edith Tiscareno
751 S Bascom Ave |
$4.09 | 73 | 52 |
|
Maxim Healthcare Services, Inc.
631 River Oaks Pkwy |
$0.00 | 68 | 53 |
|
Gwen Stephens
4030 Moorpark Ave Ste 105 |
$0.00 | 67 | 25 |
|
Kayla Deshong
1411 Berryessa Rd Ste 30 |
$303.75 | 64 | 37 |
|
Pacific Clinics
232 E Gish Rd |
$570.48 | 63 | 22 |
|
Celia Jeanne Medina
1479 Saratoga Ave |
$0.00 | 42 | 39 |
|
County Of Santa Clara
1560 Berger Dr |
$201.24 | 29 | 13 |
|
Maragadham Balu
1333 Meridian Ave |
$0.00 | 22 | 12 |
|
William Will Nham
1870 Lundy Ave |
$0.00 | 22 | 21 |
|
Jennifer Hafdal
1302 N 4Th St |
$0.00 | 20 | 15 |
|
Randi Frances Beckman
251 Llewellyn Ave |
$0.00 | 19 | 13 |
|
Chung Huu Vu
2593 S King Rd |
$0.00 | 13 | 13 |
|
Margarette Jeannette Shegog
455 Oconnor Dr Ste 200 |
$22.00 | 12 | 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 San Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in San Jose, CA is $69.65 per claim, based on 603,596 claims from 48 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 San Jose, CA?
There are 48 Medicaid providers offering Substance Abuse Treatment related services in San Jose, CA according to public payment data.
What is the price range for Substance Abuse Treatment in San Jose, CA?
Medicaid reimbursement for Substance Abuse Treatment in San Jose, CA ranges from $0.00 to $570.48 per claim, with an average of $69.65. 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 San Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Non-Emergency Medical Transportation
Avg $25.58
575,785 claims