This provider's $6.6M in total Medicare payments ranks in the 98th percentile of Opioid Treatment Program providers nationally.
95% 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 | $189.51 | $141.82 | 1.34x | $47.69 | $2.3M | 13.7K | 629 |
| 2021 | $189.51 | $144.01 | 1.32x | $45.50 | $1.8M | 10.2K | 532 |
| 2022 | $189.63 | $144.25 | 1.31x | $45.38 | $1.3M | 7.6K | 452 |
| 2023 | $200.00 | $157.32 | 1.27x | $42.68 | $1.2M | 5.8K | 344 |
| 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 | 28.0K | $6.2M | $222.64 | 1.12x |
| 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 | 9.2K | $329.4K | $35.77 | 2.10x |
| 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 | 84 | $14.9K | $177.88 | 1.41x |
This provider submits charges 1.17 times higher than what Medicare actually pays.
A markup ratio of 1.17x means for every $100 Medicare pays, this provider initially charges $117. 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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