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NPI 1043720113 · Manchester, NH · Methadone Clinic
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Habit Opco, LLC is a methadone clinic provider located in Manchester, New Hampshire. This profile covers 5 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Habit Opco, LLC |
| Address | 20 Market St |
| City | Manchester |
| State | NH |
| ZIP | 03101 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | October 3, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.3M |
| Medicare | $539.9K |
HABIT OPCO, LLC operates as an opioid treatment program/methadone clinic: its Medicare and Medicaid revenues are driven by methadone-focused bundles and administration codes (notably G2067 and H0020) plus behavioral health counseling codes (H0005, H0004), indicating a service mix centered on medication-assisted treatment, dispensing/administration, group counseling, and periodic clinical assessments. The presence of high-volume dispensing and bundled OTP codes on both payers signals an operational emphasis on ongoing maintenance treatment rather than specialty medical encounters alone.
Medicare revenue is highly concentrated in a single bundled OTP code: the top 3 Medicare codes by revenue account for 98.8% of this provider's total Medicare revenue, and G2067 alone represents $476K (88.0% of this provider's total Medicare revenue). The remaining Medicare activity is split across G2078 ($32.1K, 5.9%) and G2074 ($26K, 4.8%), reinforcing that weekly methadone bundles are the primary Medicare revenue driver.
On Medicaid the revenue mix is similarly concentrated: the top 3 Medicaid codes by revenue account for 86.8% of this provider's total Medicaid revenue. H0020 (methadone administration) is the single largest Medicaid line at $2M (46.6%), followed by G2067 at $1.4M (32.3%) and H0005 (group counseling) at $335.3K (7.9%), showing Medicaid support for both drug dispensing and bundled counseling services.
Payer mix is materially skewed toward Medicaid: total Medicaid revenue is $4.3M compared with total Medicare revenue of $539.9K, so Medicaid supplies the bulk of reported public-payer dollars for this clinic. This pattern indicates that the provider’s operational scale and payer dependence are primarily on state behavioral health/public substance-use funding rather than Medicare.
National and state competitive standing varies by code: for Medicare G2067 the provider ranks #79 of 830 nationally (91th percentile) and is cataloged as "typical, unremarkable volume" for that code, while G2078 ranks #66 of 493 (87th percentile) and G2074 ranks #51 of 179 (72th percentile), both also labeled "typical, unremarkable volume." These placements suggest the provider is a visible but not dominant national participant for standard OTP bundled services under Medicare.
Within New Hampshire Medicaid the provider shows mixed positioning: H0020 ranks #6 of 9 in-state (38th percentile) and is labeled "typical, unremarkable volume," while G2067 ranks #4 of 8 (57th percentile) also labeled "typical, unremarkable volume." H0005 (group counseling) ranks #2 of 30 in-state (97th percentile) and is nonetheless described as "typical, unremarkable volume," but G2074 is a clear state-level outlier, ranking #1 of 7 (100th percentile) and explicitly flagged as "notably above typical state volume for this code," indicating relative strength in non-drug bundled counseling services within the state.
Operational footprint and intake activity appear limited relative to maintenance services: intake-related codes (G2076) show minimal claims on both payers (16 Medicare claims, $2.5K revenue; 15 Medicaid claims, $990 revenue) and the in-state rank for G2076 is #2 of 2 (0th percentile) described as "typical, unremarkable volume." Combined with the heavy volumes on dispensing and maintenance codes, this suggests the clinic’s billing profile is concentrated on ongoing maintenance dosing and counseling rather than high volumes of new patient assessments or intake-driven growth.
Tenure is established but not long-running compared with older incumbents: the NPI was enumerated 2017-10-03 (~9 years ago), which aligns with a mid-term operational presence in the market and may help explain a billing profile focused on established maintenance populations rather than recent rapid expansion.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,980 | $240 | $476K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 840 | $40 | $32.1K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 130 | $200 | $26K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 40 | $110 | $4.1K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 20 | $150 | $2.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 198,080 | $10 | $2M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 11,270 | $120 | $1.4M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 14,580 | $20 | $335.3K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,780 | $60 | $281.8K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 1,710 | $70 | $118.3K |
| H0001 | Alcohol and/or drug assessment | 600 | $140 | $83.5K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1,830 | $30 | $60.2K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 120 | $110 | $12.8K |
| H0006 | Alcohol and/or drug services; case management | 430 | $10 | $3.4K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 20 | $70 | $990 |
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 6 | 10 | 331,430 | $10 | $5.1M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 4 | 10 | 9,800 | $110 | $1.4M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 10 | 70 | 1,260 | $80 | $202.1K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 2 | 30 | 340 | $20 | $72.6K |
| H0001 | Alcohol and/or drug assessment | 15 | 40 | 180 | $130 | $71.5K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 4 | 10 | 1,820 | $40 | $61.3K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 1 | 10 | 250 | $70 | $27.5K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 7 | 10 | 400 | $40 | $14.3K |
| H0006 | Alcohol and/or drug services; case management | 9 | 20 | 440 | $10 | $9.2K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 2 | 10 | 20 | $60 | $1.4K |
Other providers in the same ZIP code as Habit Opco, LLC, ranked by combined Medicare and Medicaid revenue.
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