Average Medicaid Substance Abuse Treatment Payments in Syracuse, NY: $62.37
Avg. Paid
$62.37
Range
$0.55 – $178.93
Total Claims
1,023,428
Providers
20
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 Syracuse, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Crouse Health Hospital, Inc.
736 Irving Ave |
$30.64 | 681,110 | 53,497 |
|
Helio Health, Inc.
847 James St |
$157.15 | 212,198 | 41,119 |
|
Tolani Ajagbe
505 Irving Ave |
$25.04 | 29,211 | 2,067 |
|
Toomey Residential And Community Services Corp.
733 Euclid Ave |
$132.20 | 21,351 | 3,847 |
|
Syracuse Recovery Services
319 E Water St |
$78.02 | 16,676 | 6,533 |
|
Elmcrest Childrens Center
960 Salt Springs Rd |
$138.91 | 13,259 | 3,051 |
|
Ross William Sullivan
750 E Adams St |
$72.28 | 12,757 | 869 |
|
Liberty Resources Inc.
1045 James St |
$76.61 | 10,576 | 6,649 |
|
Janet Mark
410 S Crouse Ave |
$24.89 | 10,066 | 753 |
|
Frederick Sengstacke
90 Presidential Plz |
$22.53 | 7,535 | 920 |
|
The Salvation Army
749 S Warren St |
$102.67 | 2,944 | 657 |
|
Central New York Services.Inc.
375 W Onondaga St |
$102.55 | 1,986 | 1,436 |
|
Bill C Hines
819 S Salina St |
$85.87 | 1,871 | 329 |
|
Liberty Resources, Inc.
1045 James St |
$52.03 | 1,327 | 1,318 |
|
Linda L Confer
819 S Salina St |
$8.04 | 215 | 197 |
|
Dorothy R Lennon
736 Irving Ave |
$149.35 | 159 | 105 |
|
Sunny P Aslam
750 E Adams St |
$0.55 | 88 | 85 |
|
Susanne A. Bauer
1045 James St |
$104.79 | 54 | 24 |
|
Liberty Resources, Inc.
1045 James St |
$38.40 | 32 | 12 |
|
St Josephs Hospital Health Center
301 Prospect Ave |
$178.93 | 13 | 13 |
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 Syracuse, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Syracuse, NY is $62.37 per claim, based on 1,023,428 claims from 20 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 Syracuse, NY?
There are 20 Medicaid providers offering Substance Abuse Treatment related services in Syracuse, NY according to public payment data.
What is the price range for Substance Abuse Treatment in Syracuse, NY?
Medicaid reimbursement for Substance Abuse Treatment in Syracuse, NY ranges from $0.55 to $178.93 per claim, with an average of $62.37. 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 Syracuse, NY
Office Visit
Avg $84.69
1,665,939 claims
Home Health Visit
Avg $141.48
1,490,559 claims
Blood Work & Lab Tests
Avg $11.75
1,425,614 claims
Psychiatric Evaluation
Avg $119.44
1,038,180 claims
Emergency Room Visit
Avg $125.62
815,459 claims
Physical Therapy
Avg $66.66
496,488 claims
Case Management Services
Avg $215.74
389,365 claims
Ambulance Transport
Avg $107.29
334,765 claims