Average Medicaid Substance Abuse Treatment Payments in Taos, NM: $155.85
Avg. Paid
$155.85
Range
$4.54 – $275.28
Total Claims
35,052
Providers
12
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 Taos, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Theodore John Wiard
125 La Posta Rd Ste B15 |
$91.06 | 15,823 | 1,391 |
|
Rio Grande Alcoholism Treatment Center Incorporated
105 Paseo Del Canon W Ste A |
$192.86 | 12,393 | 2,035 |
|
New Mexico Wellness
1333 Paseo Del Pueblo Sur |
$275.28 | 3,917 | 285 |
|
Creative Mind Therapy
522 Paseo Del Pueblo Norte |
$267.37 | 1,269 | 95 |
|
Golden Willow Counseling Llc
412 Sipapu St |
$148.65 | 687 | 101 |
|
Tri-County Community Services, Inc
105 Paseo Del Canon West |
$143.73 | 308 | 91 |
|
Gloria P Robertshaw
224 Cruz Alta Rd |
$148.58 | 267 | 41 |
|
Taos Health Systems, Inc., Holy Cross Hospital
1397 Weimer Rd |
$4.54 | 177 | 169 |
|
Amber Bodhani
520 Conrad Ln |
$88.63 | 75 | 29 |
|
El Centro Family Health
1331 Gusdorf Rd |
$160.56 | 74 | 68 |
|
Mary Margaret Campbell
1335 Gusdorf Rd Ste E |
$146.46 | 45 | 25 |
|
Michael Murphy
105 Paseo Del Canon W Ste A |
$128.50 | 17 | 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 Taos, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Taos, NM is $155.85 per claim, based on 35,052 claims from 12 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 Taos, NM?
There are 12 Medicaid providers offering Substance Abuse Treatment related services in Taos, NM according to public payment data.
What is the price range for Substance Abuse Treatment in Taos, NM?
Medicaid reimbursement for Substance Abuse Treatment in Taos, NM ranges from $4.54 to $275.28 per claim, with an average of $155.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $34.24
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Other Procedures in Taos, NM
Psychiatric Evaluation
Avg $88.89
221,481 claims
Office Visit
Avg $117.77
144,148 claims
Blood Work & Lab Tests
Avg $11.32
137,927 claims
Home Health Visit
Avg $84.80
127,262 claims
Physical Therapy
Avg $40.17
99,694 claims
Emergency Room Visit
Avg $199.76
55,199 claims
X-Ray
Avg $55.79
25,586 claims
Vaccines & Immunizations
Avg $19.97
24,594 claims