Average Medicaid Substance Abuse Treatment Payments in Trenton, NJ: $72.43
Avg. Paid
$72.43
Range
$0.00 – $94.03
Total Claims
161,574
Providers
16
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 Trenton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Iron Recovery And Wellness Center, Inc.
132 Perry St |
$88.52 | 63,994 | 14,919 |
|
Trenton Healthcare, Llc
801 New York Ave |
$77.97 | 55,778 | 12,242 |
|
Catholic Charities Diocese Of Trenton
10 Southard St |
$0.00 | 14,391 | 6,519 |
|
Shahid B. Meer
1601 Whitehorse Mercerville Rd |
$66.60 | 13,247 | 6,946 |
|
Department Of Children And Families
50 E State St |
$94.03 | 5,968 | 3,510 |
|
Iron Recovery And Wellness Center, Inc.
132 Perry St |
$4.25 | 2,249 | 101 |
|
Iron Recovery And Wellness Center, Inc.
132 Perry Street |
$87.68 | 2,057 | 814 |
|
Michael S Deshields
801 New York Ave |
$1.91 | 1,445 | 98 |
|
Pinnacle Treatment Centers Nj-Iii, Llc
801 New York Ave |
$4.21 | 844 | 285 |
|
John Mincarelli
321 N Warren St |
$44.64 | 692 | 326 |
|
Cory Jones
132 Perry St |
$20.77 | 508 | 440 |
|
Oaks Integrated Care
314 E State St |
$0.00 | 219 | 120 |
|
Miquia Delvalle
132 Perry St |
$42.40 | 107 | 74 |
|
Bhanwarlal Chowdhury
1757 S Broad St |
$33.50 | 34 | 32 |
|
Paulo Juan Bagayas Verdeflor
2401 Stuyvesant Ave |
$55.27 | 22 | 13 |
|
Rajendra Prasad Gupta
1871 Pennington Rd |
$68.00 | 19 | 14 |
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 Trenton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Trenton, NJ is $72.43 per claim, based on 161,574 claims from 16 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 Trenton, NJ?
There are 16 Medicaid providers offering Substance Abuse Treatment related services in Trenton, NJ according to public payment data.
What is the price range for Substance Abuse Treatment in Trenton, NJ?
Medicaid reimbursement for Substance Abuse Treatment in Trenton, NJ ranges from $0.00 to $94.03 per claim, with an average of $72.43. 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 Trenton, NJ
Office Visit
Avg $42.14
490,743 claims
Blood Work & Lab Tests
Avg $6.40
405,781 claims
Home Health Visit
Avg $66.64
382,226 claims
Emergency Room Visit
Avg $254.07
336,880 claims
Psychiatric Evaluation
Avg $50.43
245,605 claims
Ambulance Transport
Avg $50.90
168,523 claims
X-Ray
Avg $26.40
127,831 claims
Vaccines & Immunizations
Avg $14.92
122,710 claims