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 (2022 fee schedule; adds 0 work RVUs)

842
84th percentile among 6,326 codes billed · 2022
$194M
99th percentile among 6,326 codes billed · 2022
1.0M
95th percentile among 6,326 codes billed · 2022
715
95th percentile among 6,326 codes billed · 2022
3,155
95th percentile among 6,326 codes billed · 2022
-4.9%
Medicare payment on the code vs 2021; billers +2.7% · 2022

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
California119$35,014,593220,6021,1915,881
Massachusetts12$28,091,013129,2613,38937,049
Maryland63$17,203,81279,7091,0642,338
New York47$8,963,60142,1877331,944
Pennsylvania48$7,533,97637,2057331,301
New Jersey30$7,498,39435,4461,2502,222
Michigan31$6,976,31534,2108092,827
Connecticut12$5,178,54723,6591,0016,621
Florida30$4,822,28423,3026291,618
Washington19$4,780,89926,6597753,825
North Carolina37$4,257,95421,2945211,282
Kentucky21$3,873,47219,7327662,112
Indiana17$3,539,57018,0439132,207
Alabama17$3,193,50822,1581,0143,088
Wisconsin13$3,126,51615,8036573,444

Not listed: 24 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Baltimore-Columbia-Towson, MD46$13,639,47462,8701,218
New York-Newark-Jersey City, NY-NJ48$9,952,27147,0251,048
San Francisco-Oakland-Fremont, CA16$6,776,77530,0951,618
Los Angeles-Long Beach-Anaheim, CA34$5,945,72171,503653
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD20$4,546,51222,663734
Providence-Warwick, RI-MA13$4,150,71819,588979
Detroit-Warren-Dearborn, MI15$4,048,28819,574986
Chicago-Naperville-Elgin, IL-IN23$2,871,74213,907580
Pittsburgh, PA18$2,512,20412,592685
Phoenix-Mesa-Chandler, AZ15$1,106,4915,461378

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 2022.

Specialties billing G2067 nationally

Opioid Treatment Program accounts for 100% of payment for G2067 nationally in 2022, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Opioid Treatment Program842100%$194,410,395100%1,021,2491,213

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 2022.

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