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    OpenPayerNPI Medicare & MedicaidMetro Treatment Of Virginia LP
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    Metro Treatment Of Virginia LP — Billing Profile & Reimbursement Data

    NPI 1376759936 · Richmond, VA · Methadone Clinic

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    Metro Treatment Of Virginia LP is a methadone clinic provider located in Richmond, Virginia. This profile covers 3 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMetro Treatment Of Virginia LP
    Address3021 Mechanicsville Tpke
    CityRichmond
    StateVA
    ZIP23223
    TaxonomyMethadone Clinic
    NPI EnumeratedMay 14, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15M
    Medicare$141.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…530$240$124.5K
    G2078Take-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 procedure240$40$9.5K
    G2077Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and…70$120$7.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067920450$240$133.1K
    G20781220300$40$13K
    G207722050$110$5.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)750,760$10$6M
    S0109Methadone, oral, 5 mg699,580$10$4.2M
    G9012Other specified case management service not elsewhere classified15,370$230$3.6M
    H0004Behavioral health counseling and therapy, per 15 minutes22,400$50$1.2M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.840$150$125K
    99214The 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…1,730$40$67.3K
    99205The provider sees a new 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 provider…200$80$15.1K
    H0005Alcohol and/or drug services; group counseling by a clinician750$20$12K
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…1,840$1$3.7K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.130$10$1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)650274,670$10$2.8M
    S0109Methadone, oral, 5 mg850177,970$10$1.7M
    G9012Other specified case management service not elsewhere classified191202,160$220$1.6M
    H0004Behavioral health counseling and therapy, per 15 minutes201003,280$40$455.8K
    99214The 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…1,0073,520370$70$280.7K
    H0005Alcohol and/or drug services; group counseling by a clinician4280760$20$86.5K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.8561070$110$68.1K
    99205The provider sees a new 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 provider…7526060$120$33.8K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.55110130$10$5.7K
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…4201,000$1$5.6K

    Nearby Providers

    Other providers in the same ZIP code as Metro Treatment Of Virginia LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bon Secours-richmond Community Hospital LLCVAGeneral Acute Care Hospital$0$57.1M
    Hope, Unity, And Freedom Center IncVACounselor$0$35.4M
    Five Star Living, LLCVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.4M
    Life Services IncVAMental Health Counselor$0$15.2M
    Guided Paths IncVACommunity/Behavioral Health Agency$0$14.3M
    A Village Youth & Family Services Inc.VACommunity/Behavioral Health Agency$0$12.1M
    Capstone CounselingVAMental Health Counselor$0$10.5M
    Virginia Counseling And Community Development CorporationVACase Management Agency$0$7.5M
    Sandy GibsonVANephrology Physician$174.9K$0
    Mauricio Monrroy PradoVANephrology Physician$118K$1.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Metro Treatment Of Virginia LP — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Metro Treatment Of Virginia LP — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia