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 (2021 fee schedule; adds 0 work RVUs)

820
84th percentile among 6,253 codes billed · 2021
$205M
99th percentile among 6,253 codes billed · 2021
1.1M
95th percentile among 6,253 codes billed · 2021
779
96th percentile among 6,253 codes billed · 2021
3,312
95th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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% (2023 changed hospital and observation visit codes)895,7696412,9300.00
2022842$194,410,395-5%1,021,2497153,1550.00
2021820$204,513,069– (Not compared: 2021 changed office visit values)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
California111$33,467,689211,3721,2366,253
Massachusetts12$27,845,793127,7363,05238,685
Maryland62$19,467,60589,7211,0303,278
New York51$10,685,06748,6557621,863
Michigan31$8,774,02042,7491,2022,938
Pennsylvania41$7,603,28837,5778401,480
New Jersey27$6,917,48231,9401,0652,326
Connecticut12$5,926,45227,5371,1298,117
Florida32$5,524,27126,5977331,886
Washington18$5,125,32629,8626895,885
North Carolina35$4,913,32224,5715991,598
Kentucky21$4,529,30723,1338912,495
Virginia24$3,753,19718,1856491,670
Indiana16$3,638,62818,6389112,531
Alabama17$3,574,85824,2631,1333,063

Not listed: 21 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 2021.

Top metro areas

observed calculated calculated calculated calculated
Baltimore-Columbia-Towson, MD45$16,353,66774,9451,365
New York-Newark-Jersey City, NY-NJ51$10,573,90147,443799
San Francisco-Oakland-Fremont, CA16$6,834,45729,8951,644
Los Angeles-Long Beach-Anaheim, CA31$5,253,12468,317629
Detroit-Warren-Dearborn, MI15$4,977,42923,6431,819
Providence-Warwick, RI-MA14$4,871,14323,0381,302
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD15$4,501,92023,2031,234
Chicago-Naperville-Elgin, IL-IN23$2,751,06114,078594
Pittsburgh, PA14$2,446,90112,269831
Phoenix-Mesa-Chandler, AZ11$1,028,5875,099486

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 2021.

Specialties billing G2067 nationally

Opioid Treatment Program accounts for 100% of payment for G2067 nationally in 2021, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Opioid Treatment Program820100%$204,513,069100%1,078,4481,315

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 2021.

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