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 (2023 fee schedule; adds 0 work RVUs)

830
85th percentile among 6,405 codes billed · 2023
$193M
99th percentile among 6,405 codes billed · 2023
896K
95th percentile among 6,405 codes billed · 2023
641
95th percentile among 6,405 codes billed · 2023
2,930
94th percentile among 6,405 codes billed · 2023
-0.9%
Medicare payment on the code vs 2022; billers -1.4% · 2023

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
California116$37,192,006207,9981,2605,907
Massachusetts13$25,765,570104,2582,50928,854
Maryland63$17,534,22874,0319442,704
New York43$9,977,81541,9087782,887
New Jersey34$7,687,44832,1028131,873
Pennsylvania50$6,807,40029,7355351,108
Michigan29$6,035,92826,3328392,057
Connecticut12$4,814,55820,2138595,499
Florida31$4,516,26119,5805721,154
Washington19$4,295,54319,2996902,126
North Carolina32$3,560,23615,829441922
Kentucky21$3,528,12615,7616011,617
Georgia25$3,480,75315,3064841,302
Indiana16$3,277,60814,6456681,907
Alabama16$3,107,69616,5159271,838

Not listed: 22 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Baltimore-Columbia-Towson, MD47$14,035,75859,2641,016
New York-Newark-Jersey City, NY-NJ48$11,740,63849,511869
San Francisco-Oakland-Fremont, CA16$7,130,36526,4541,348
Los Angeles-Long Beach-Anaheim, CA33$6,964,19369,802671
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD25$4,796,06820,554593
Detroit-Warren-Dearborn, MI14$3,473,36814,594909
Providence-Warwick, RI-MA12$3,458,82014,381863
Chicago-Naperville-Elgin, IL-IN20$2,583,70811,376512
Pittsburgh, PA15$2,151,1459,568558
Phoenix-Mesa-Chandler, AZ12$1,121,5484,811375

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 2023.

Specialties billing G2067 nationally

Opioid Treatment Program accounts for 100% of payment for G2067 nationally in 2023, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Opioid Treatment Program830100%$192,698,870100%895,7691,079

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 2023.

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