This provider's $46.7M in total Medicare payments ranks in the 99th percentile of Opioid Treatment Program providers nationally.
86% of their billing comes from a single procedure code (G2067 — Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm).
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2020 | $179.27 | $177.03 | 1.01x | $2.24 | $11.4M | 64.3K | 5 |
| 2021 | $160.49 | $157.06 | 1.02x | $3.43 | $12.6M | 80.3K | 6 |
| 2022 | $168.23 | $159.57 | 1.05x | $8.66 | $11.6M | 72.9K | 6 |
| 2023 | $174.04 | $167.64 | 1.04x | $6.40 | $11.0M | 65.9K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | 183.0K | $39.9M | $218.11 | 1.03x |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | 20.1K | $3.4M | $168.46 | 1.02x |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 76.7K | $2.8M | $36.83 | 1.03x |
| G2077 | Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for | 1.7K | $197.0K | $114.21 | 1.04x |
| G2076 | Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a | 1.1K | $186.5K | $169.87 | 1.13x |
| G2172 | All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project | 754 | $164.1K | $217.69 | 1.04x |
This provider submits charges 1.03 times higher than what Medicare actually pays.
A markup ratio of 1.03x means for every $100 Medicare pays, this provider initially charges $103. This is lower than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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