Average Medicaid Substance Abuse Treatment Payments in Stony Brook, NY: $56.38
Avg. Paid
$56.38
Range
$6.96 – $101.77
Total Claims
10,578
Providers
3
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 Stony Brook, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Hospital At Stony Brook
Nicolls Rd |
$24.35 | 2,057 | 2,001 |
|
Fangqin Li
2500 Nesconset Hwy Bldg 12C |
$6.96 | 3,385 | 2,571 |
|
Long Island Adolescent & Family Service,Inc
1413 Stony Brook Rd |
$101.77 | 5,136 | 1,250 |
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 Stony Brook, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Stony Brook, NY is $56.38 per claim, based on 10,578 claims from 3 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 Stony Brook, NY?
There are 3 Medicaid providers offering Substance Abuse Treatment related services in Stony Brook, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Stony Brook, NY?
Medicaid reimbursement for Substance Abuse Treatment in Stony Brook, NY ranges from $6.96 to $101.77 per claim, with an average of $56.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $38.59
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Avg $34.24
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Other Procedures in Stony Brook, NY
Blood Work & Lab Tests
Avg $7.44
393,524 claims
Emergency Room Visit
Avg $128.56
342,201 claims
Office Visit
Avg $104.51
339,422 claims
X-Ray
Avg $10.47
294,313 claims
Dental Cleaning & Exam
Avg $32.83
239,529 claims
Speech Therapy
Avg $40.56
137,885 claims
CT Scan (Computed Tomography)
Avg $76.06
115,518 claims
Psychiatric Evaluation
Avg $272.00
71,862 claims