This provider's $4.1M in total Medicare payments ranks in the 97th percentile of Opioid Treatment Program providers nationally.
100% 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 | $176.29 | $138.82 | 1.27x | $37.47 | $1.1M | 5.0K | 147 |
| 2021 | $247.20 | $220.93 | 1.12x | $26.27 | $1.2M | 5.3K | 130 |
| 2022 | $173.24 | $168.37 | 1.03x | $4.87 | $985.1K | 4.5K | 143 |
| 2023 | $174.04 | $165.45 | 1.05x | $8.59 | $884.9K | 4.1K | 138 |
| 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 | 18.8K | $4.1M | $219.00 | 1.11x |
| 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 | 79 | $9.1K | $114.56 | 1.05x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15 | $912.33 | $60.82 | 1.48x |
This provider submits charges 1.11 times higher than what Medicare actually pays.
A markup ratio of 1.11x means for every $100 Medicare pays, this provider initially charges $111. 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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