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NPI 1689189490 · Williamson, WV · Methadone Clinic
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Williamson Treatment Center, LLC is a methadone clinic provider located in Williamson, West Virginia. This profile covers 4 Medicare and 16 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 | Williamson Treatment Center, LLC |
| Address | 1609 W 3rd Ave |
| City | Williamson |
| State | WV |
| ZIP | 25661 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | December 4, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.9M |
| Medicare | $446.4K |
WILLIAMSON TREATMENT CENTER, LLC bills primarily as an opioid treatment program (methadone clinic) — its Medicare and Medicaid top codes are the OTP-specific weekly bundles and methadone administration codes (G2067 and H0020) that cover dispensing, counseling, group therapy and toxicology testing. The code mix (G2067 on Medicare and H0020 on Medicaid) is consistent with an integrated medication‑assisted treatment operation that combines daily/weekly dispensing with behavioral health supports and routine toxicology monitoring.
Medicare revenue is concentrated almost entirely in OTP bundle and adjunct codes: the top 3 Medicare codes account for 99.0% of the provider’s total Medicare revenue, with G2067 alone generating $391.7K (87.6% of Medicare revenue) across 1.7K claims at $230 avg paid/claim. Those Medicare claims indicate the provider is billing the standard weekly MAT bundle for Medicare beneficiaries rather than a broad set of unrelated services.
Medicaid revenue is overwhelmingly driven by methadone administration: the top 3 Medicaid codes account for 99.4% of total Medicaid revenue, and H0020 represents $8.7M (98.6% of Medicaid revenue) on 89.1K claims at $98 avg paid/claim. This shows the provider is effectively a Medicaid-funded methadone dispensing operation where H0020 is the dominant revenue source, with ancillary services contributing only a tiny share of Medicaid revenue.
The provider’s payer mix is heavily Medicaid‑weighted in scale: lifetime Medicaid revenue is $8.9M versus lifetime Medicare revenue of $446.4K, so the business is materially dependent on Medicaid for volume and revenue. In operational terms this means most clinical activity and cash flow are anchored to Medicaid-covered methadone administration rather than Medicare.
Against peers, WILLIAMSON’s Medicare footprint on G2067 ranks #104 of 830 (88th percentile), which places it above the national median for that code but still described in the source data as typical, unremarkable volume for the code; companion Medicare OTP codes G2074 and G2078 also sit in above‑median percentile bands (79th and 67th percentiles respectively). On Medicaid, H0020 ranks #5 of 17 in-state (75th percentile), indicating the clinic is among the higher-volume Medicaid methadone providers in West Virginia but not a statewide outlier or dominant single operator.
Operational scale is evident in claim counts: 89.1K H0020 Medicaid claims and 1.7K G2067 Medicare claims reflect a high-frequency dispensing and follow-up model consistent with daily or weekly dosing workflows. The large claim volume for H0020 in particular implies substantial onsite dispensing and associated staffing/operational requirements to manage medication, counseling, and testing throughput.
Ancillary E/M and lab services are present but immaterial to overall revenue — Medicaid shows 99212 at $39.6K, 99213 at $29.6K, and assorted lab codes totaling only a few thousand dollars each. These smaller revenue lines indicate routine clinical assessments, nursing evaluations (T1001 at $5.6K), and screening tests are performed but are subordinate to the core methadone administration business.
The provider has been NPI‑enumerated since 2017-12-04 (~9 years ago), indicating a relatively recent but established presence in the market; combined with the heavy Medicaid billing profile, this tenure suggests the clinic has built operational scale primarily through Medicaid-covered OTP services since enrollment.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 1,700 | $230 | $391.7K |
| 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… | 180 | $180 | $31.5K |
| 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 | 530 | $40 | $19.5K |
| 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… | 40 | $100 | $4.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
16 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) | 89,140 | $100 | $8.7M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,200 | $30 | $39.6K |
| 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… | 660 | $50 | $29.6K |
| 99205 | The 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… | 180 | $120 | $20.4K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 700 | $10 | $8.3K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 2,590 | $1 | $7.8K |
| T1001 | Nursing assessment / evaluation | 800 | $10 | $5.6K |
| H0031 | Mental health assessment, by non-physician | 40 | $120 | $5.3K |
| 86580 | The lab analyst performs an intradermal skin test on a patient to test for tuberculosis. | 740 | $1 | $2.2K |
| 80074 | The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody. | 10 | $50 | $640 |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
16 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) | 5 | 20 | 24,280 | $100 | $5.5M |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 106 | 110 | 2,080 | $50 | $537.1K |
| H0031 | Mental health assessment, by non-physician | 95 | 120 | 620 | $160 | $312.6K |
| 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… | 772 | 1,270 | 1,240 | $30 | $245K |
| T1001 | Nursing assessment / evaluation | 14 | 60 | 200 | $110 | $90.3K |
| 80074 | The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody. | 38 | 40 | 180 | $40 | $59.2K |
| 99205 | The 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… | 34 | 110 | 90 | $90 | $46.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 142 | 540 | 320 | $20 | $43.2K |
| 80076 | The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes. | 58 | 60 | 300 | $20 | $40.1K |
| 80305 | The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes… | 91 | 170 | 800 | $10 | $38.2K |
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Other providers in the same ZIP code as Williamson Treatment Center, LLC, ranked by combined Medicare and Medicaid revenue.
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