HCPCS 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 (CMS descriptor)

Other services Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

828
85th percentile among 6,471 codes billed · 2024
$180M
99th percentile among 6,471 codes billed · 2024
813K
95th percentile among 6,471 codes billed · 2024
592
94th percentile among 6,471 codes billed · 2024
2,736
93rd percentile among 6,471 codes billed · 2024
-6.6%
Medicare payment on the code vs 2023; billers -0.2% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $159M paid20202021: $205M paid20212022: $194M paid20222023: $193M paid20232024: $180M paid2024$180M$0$100M$200M2020: $159M paid20202021: $205M paid20212022: $194M paid20222023: $193M paid20232024: $180M paid2024$180M$0$100M$200M2020: $159M paid20202021: $205M paid20212022: $194M paid20222023: $193M paid20232024: $180M paid2024$180M$0$100M$200M2020: $159M paid20202021: $205M paid20212022: $194M paid20222023: $193M paid20232024: $180M paid2024$180M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05002020: 689 providers20202021: 820 providers20212022: 842 providers20222023: 830 providers20232024: 828 providers202482805002020: 689 providers20202021: 820 providers20212022: 842 providers20222023: 830 providers20232024: 828 providers202482805002020: 689 providers20202021: 820 providers20212022: 842 providers20222023: 830 providers20232024: 828 providers202482805002020: 689 providers20202021: 820 providers20212022: 842 providers20222023: 830 providers20232024: 828 providers2024828

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024828$179,898,016-7%813,2255922,7360.00
2023830$192,698,870-1%895,7696412,9300.00
2022842$194,410,395-5%1,021,2497153,1550.00
2021820$204,513,069+29%1,078,4487793,3120.00
2020689$158,823,912first year in data871,3396943,5470.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California113$38,709,211208,7931,1445,514
Massachusetts14$22,484,97086,1452,04422,187
Maryland65$15,978,53363,3668302,075
New York47$9,510,54338,5205662,328
New Jersey36$7,807,93729,8067191,521
Pennsylvania46$5,881,90724,343461967
Michigan27$4,851,90619,8916251,516
Connecticut13$4,597,89217,9038434,412
Washington20$4,418,91017,7836891,874
Florida30$3,895,29815,9884291,013
Oregon15$3,089,21012,6316771,811
Alabama17$3,055,43021,5568302,772
Georgia25$3,004,80612,519420975
Kentucky22$2,783,20411,9855051,163
Minnesota13$2,739,76311,5425351,883

Not listed: 20 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2024.

Top metro areas

observed calculated calculated calculated calculated
Baltimore-Columbia-Towson, MD48$12,755,06750,581905
New York-Newark-Jersey City, NY-NJ55$11,960,68247,067666
San Francisco-Oakland-Fremont, CA15$7,701,78229,3332,009
Los Angeles-Long Beach-Anaheim, CA31$6,524,47366,134883
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD24$4,624,62919,607566
Detroit-Warren-Dearborn, MI14$2,708,62210,864595
Providence-Warwick, RI-MA11$2,679,47110,553666
Chicago-Naperville-Elgin, IL-IN21$2,520,50010,194428
Pittsburgh, PA13$1,588,2606,740418
Phoenix-Mesa-Chandler, AZ12$1,060,7204,390361

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing G2067 nationally

Opioid Treatment Program accounts for 100% of payment for G2067 nationally in 2024, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Opioid Treatment Program828100%$179,898,016100%813,225982

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2024.

Top billers of G2067 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations