This provider's $6.6M in total Medicare payments ranks in the 98th percentile of Opioid Treatment Program providers nationally.
93% 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 | $115.48 | $114.06 | 1.01x | $1.42 | $1.4M | 8.8K | 533 |
| 2021 | $143.74 | $140.61 | 1.02x | $3.13 | $1.9M | 11.6K | 606 |
| 2022 | $153.86 | $149.71 | 1.03x | $4.15 | $1.8M | 10.6K | 604 |
| 2023 | $124.36 | $118.83 | 1.05x | $5.53 | $1.6M | 9.7K | 574 |
| 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 | 29.1K | $6.2M | $211.96 | 1.03x |
| 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 | 11.4K | $411.6K | $36.08 | 1.02x |
| 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 | 102 | $19.0K | $186.61 | 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 | 53 | $5.5K | $103.62 | 1.00x |
| G2080 | Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 35 | $1.2K | $33.50 | 1.02x |
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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