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NPI 1093849994 · Concord, NH · Methadone Clinic
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Metro Treatment Of New Hampshire, LP is a methadone clinic provider located in Concord, New Hampshire. This profile covers 5 Medicare and 17 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 | Metro Treatment Of New Hampshire, LP |
| Address | 100 Hall St |
| City | Concord |
| State | NH |
| ZIP | 03301 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | March 15, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.4M |
| Medicare | $404K |
This provider operates as an opioid treatment program/methadone clinic based on its billed services mix: high Medicaid revenue from H0020 (methadone administration and/or service) and large counts on G2067 (medication assisted treatment, methadone weekly bundle) plus frequent H0033 (oral medication administration, direct observation). The code set — bundles that include dispensing, counseling, group and individual therapy, and toxicology testing — is consistent with an on-site OTP that provides supervised dosing and associated behavioral services.
Revenue concentration on Medicare is highly concentrated: the top three Medicare codes account for 95.8% of this provider's total Medicare revenue, and G2067 alone represents $353.8K or 87.5% of the provider's total Medicare revenue against a Medicare total of $404K. G2067’s national rank is #135 of 830 providers (84th percentile) and is characterized in the source as "typical, unremarkable volume for this code," indicating the provider’s Medicare receipts are driven overwhelmingly by the standard OTP weekly bundle rather than a diversified set of Medicare services.
Medicaid revenue is even more concentrated on a single operational activity: the top three Medicaid codes account for 94.7% of total Medicaid revenue and H0020 (methadone administration and/or service) alone accounts for $8.1M or 77.4% of the provider’s $10.4M Medicaid revenue. In-state competitive data shows H0020 ranks #3 of 9 providers in New Hampshire (75th percentile) and is labeled "typical, unremarkable volume for this code," implying the clinic is a major Medicaid billing source for medication dispensing in the state but not uniquely dominant on that code.
Payer mix is heavily skewed toward Medicaid in scale: the provider reports $10.4M in Medicaid revenue versus $404K in Medicare revenue, making Medicaid the overwhelmingly larger payer relationship on record. This indicates the entity functions primarily as a Medicaid-serving OTP with Medicare activity present but limited in absolute dollars.
The provider is a statewide leader on direct-observation oral medication administration: H0033 shows 34.1K claims, $307.1K revenue, and ranks #1 of 12 providers in-state (100th percentile) and is described as "notably above typical state volume for this code." That label and top rank suggest the clinic is a key site for supervised dosing in New Hampshire relative to peers, even as many other billed codes remain "typical, unremarkable volume for this code."
Operationally, the presence of G2078 (take-home supply of methadone) in both payers and modest revenue shares (Medicaid G2078: 2.4K claims, $87.7K, 0.8% of Medicaid revenue; Medicare G2078: 447 claims, $17.4K, 4.3% of Medicare revenue) indicates the clinic dispenses both supervised doses and some take-home supplies. Ancillary behavioral codes such as H0004 (behavioral health counseling) and periodic assessment codes like G2077 appear as smaller revenue contributors, consistent with an OTP model that centers on medication dispensing while providing bundled counseling and assessment services.
The provider has long tenure in enrollment with NPI enumerated (registered) 2007-03-15 (~19 years ago), and the concentrated, high-volume Medicaid billing profile suggests an established, stable OTP operation in New Hampshire rather than a recent or transient entrant to the market. The combination of long registration and dominant Medicaid receipts supports classification as an entrenched state-level OTP billing entity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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… | 1,470 | $240 | $353.8K |
| 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 | 450 | $40 | $17.4K |
| 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… | 80 | $200 | $16K |
| 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 | $120 | $14.5K |
| 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… | 10 | $190 | $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.
17 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) | 898,760 | $10 | $8.1M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 14,330 | $110 | $1.5M |
| H0033 | Oral medication administration, direct observation | 34,130 | $10 | $307.1K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3,110 | $70 | $205.1K |
| H0001 | Alcohol and/or drug assessment | 740 | $140 | $100.8K |
| 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 | 2,370 | $40 | $87.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,520 | $50 | $76.2K |
| 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… | 610 | $40 | $22K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 340 | $50 | $16.5K |
| 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… | 250 | $60 | $16.2K |
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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
17 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) | 3 | 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… | 3 | 10 | 9,800 | $110 | $1.4M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 146 | 420 | 480 | $50 | $223.9K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 17 | 70 | 1,260 | $80 | $202.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 199 | 400 | 350 | $30 | $140.6K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 17 | 30 | 340 | $20 | $72.6K |
| H0001 | Alcohol and/or drug assessment | 11 | 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 | 2 | 10 | 1,820 | $40 | $61.3K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 88 | 100 | 170 | $70 | $51.3K |
| H0033 | Oral medication administration, direct observation | 1 | 10 | 140 | $10 | $40.5K |
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Other providers in the same ZIP code as Metro Treatment Of New Hampshire, LP, ranked by combined Medicare and Medicaid revenue.
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