This provider's $4.1M in total Medicare payments ranks in the 97th percentile of Opioid Treatment Program providers nationally.
99% 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 | $121.39 | $120.06 | 1.01x | $1.33 | $956.3K | 4.7K | 150 |
| 2021 | $125.73 | $124.34 | 1.01x | $1.39 | $1.1M | 5.4K | 166 |
| 2022 | $217.99 | $210.46 | 1.04x | $7.53 | $1.0M | 4.8K | 129 |
| 2023 | $173.87 | $159.07 | 1.09x | $14.80 | $1.1M | 4.6K | 157 |
| 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 | 19.0K | $4.1M | $216.56 | 1.06x |
| 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 | 477 | $17.9K | $37.45 | 1.01x |
| 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) | 29 | $5.7K | $196.73 | 1.02x |
This provider submits charges 1.06 times higher than what Medicare actually pays.
A markup ratio of 1.06x means for every $100 Medicare pays, this provider initially charges $106. 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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