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#165 of 11K

G2067

Medication-assisted treatment, opioid use disorder, per month

Medication-assisted treatment, opioid use disorder, per month is the #165 most-billed Medicaid procedure code, with $1.07B in payments across 7.6M claims from 2018–2024. The national median cost per claim is $73.29. Costs vary widely — the 90th percentile is $197.31 per claim, 2.7× the median.

Total Paid

$1.07B

0.10% of all spending

Total Claims

7.6M

Providers

641

Avg Cost/Claim

$141

National Cost Distribution

How much do providers bill per claim for G2067? Based on 575 providers billing this code nationally.

Median

$73.29

Average

$85.25

Std Dev

$72.01

Max

$247.61

Percentile Distribution (Cost per Claim)

p10
$2.71
p25
$16.13
Median
$73.29
p75
$140.18
p90
$197.31
p95
$210.32
p99
$228.98

50% of providers bill between $16.13 and $140.18 per claim for this code.

90% bill between $2.71 and $197.31.

Top 1% bill above $228.98.

About This Procedure

HCPCS code G2067 (Medication-assisted treatment, opioid use disorder, per month) was billed by 641 providers across 7.6M claims, totaling $1.07B in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.29

Providers Billing

575

National Spending

$1.07B

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G2067

#ProviderTotal Paid
1Habit Opco, Llc

Springfield, MA · Case Management

$64.0M
2Spectrum Health Systems, Inc

Worcester, MA · Clinic/Center, Rehabilitation, Substance Use Disorder

$57.9M
3Samaritan Daytop Village Inc.

Richmond Hill, NY · Substance Abuse Rehabilitation Facility

$56.5M
4Community Health Care, Inc.

Westfield, MA · Counselor, Addiction (Substance Use Disorder)

$52.5M
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$47.3M
6Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$43.4M
71912155516$32.5M
81487709671$27.4M
9Helio Health Inc.

Syracuse, NY · Substance Abuse Rehabilitation Facility

$20.3M
101609805993$20.0M
111366789158$18.3M
121467507293$14.3M
131275686123$13.6M
14Ses Operating Corp

New York, NY · Clinic/Center Primary Care

$12.8M
151093972838$12.7M
161497707806$12.6M
171114938594$12.3M
181548707748$11.6M
191073722286$9.8M
201275851917$9.3M

Showing top 20 of 641 providers billing this code