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NPI 1770799306 · Bangor, ME · Methadone Clinic
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Metro Treatment Of Maine LP is a methadone clinic provider located in Bangor, Maine. This profile covers 5 Medicare and 8 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 Maine LP |
| Address | 659 Hogan Rd |
| City | Bangor |
| State | ME |
| ZIP | 04401 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | May 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16.5M |
| Medicare | $469.5K |
METRO TREATMENT OF MAINE LP operates as a methadone-focused opioid treatment program: its billing is dominated by methadone service bundles and dispensing codes (notably G2067 in Medicare and H0020 in Medicaid), which indicates routine provision of medication-assisted treatment (including dispensing/administration, counseling, group/individual therapy, and toxicology testing) as the core service line. The presence of take-home supply and periodic assessment codes (G2078, G2077) in both payers further supports a full-spectrum OTP model that includes dosing, counseling, and periodic clinical review.
Medicare revenue is highly concentrated in a small set of OTP-specific codes: the top 3 Medicare codes account for 96.4% of this provider's total Medicare revenue, with G2067 alone representing $414.3K (88.0% of Medicare revenue). Secondary Medicare codes such as G2078 ($19.7K, 4.2%) and G2074 ($19.5K, 4.2%) provide only marginal additional Medicare income, so Medicare exposure is almost entirely driven by the primary weekly bundle code.
Medicaid revenue is overwhelmingly dependent on a single code: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and H0020 supplies $16.5M (99.8% of Medicaid revenue). Other listed Medicaid codes (H0004 $26.1K, G2067 $9.3K) are trivially small by comparison, indicating that Medicaid payments flow almost exclusively through methadone administration/service billing rather than itemized ancillary codes.
The payer mix is heavily skewed toward Medicaid in scale: this provider reports $469.5K in total Medicare revenue versus $16.5M in total Medicaid revenue, making it effectively Medicaid-dominant at this location. Operationally that means financial performance and payer contracting strategies will be far more sensitive to Medicaid reimbursement rules and H0020 payment policy than to Medicare.
Nationally and within Medicare-specific codes this provider posts upper-percentile but characterized-as-typical volumes: G2067 ranks #89 of 830 providers nationally (89th percentile; typical, unremarkable volume) and G2077 ranks #42 of 352 (88th percentile; typical, unremarkable volume), which signals above-average activity on key OTP Medicare codes without indicating an extreme national outlier. These rankings suggest the provider is a competent national participant on standard Medicare OTP codes rather than a market dominator.
Within Maine Medicaid for principal methadone dispensing, the provider is a meaningful in-state participant: H0020 ranks #4 of 14 providers in-state (77th percentile; typical, unremarkable volume), indicating relatively high Medicaid dispensing volume among peers. At the same time, G2077 is listed as #1 of 5 providers in-state (100th percentile; notably above typical state volume) despite showing $0 reported Medicaid revenue for that code, a pattern that merits attention as a statistical outlier in rank versus paid amounts.
There are multiple service-line billing anomalies on the Medicaid side where substantial claim counts map to $0 average paid and $0 revenue (for example H2010: 2K claims, $0 avg paid/claim, $0 revenue; G2078: 1.3K claims, $0 avg paid/claim, $0 revenue; G2077: 296 claims, $0 avg paid/claim, $0 revenue). This pattern implies that many ancillary OTP activities may be either bundled into H0020 or not separately reimbursed by Medicaid, concentrating paid Medicaid dollars into the primary methadone administration code.
The provider has long operational tenure, with its NPI enumerated on 2007-05-14 (~19 years ago), which supports interpretation of these billing patterns as established practice rather than a new or transient operation. Analysts assessing contracting, network placement, or rate negotiations should weigh this longevity alongside the heavy Medicaid dependency and the concentrated-code revenue profile.
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… | 1,820 | $230 | $414.3K |
| 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 | 500 | $40 | $19.7K |
| 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… | 110 | $180 | $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… | 140 | $110 | $15.2K |
| 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… | 10 | $150 | $1.9K |
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.
8 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) | 160,120 | $100 | $16.5M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2,900 | $10 | $26.1K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 4,630 | $1 | $9.3K |
| 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… | 20 | $0 | $0 |
| 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… | 300 | $0 | $0 |
| 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 | 1,300 | $0 | $0 |
| H2000 | Comprehensive multidisciplinary evaluation | 230 | $0 | $0 |
| H2010 | Comprehensive medication services, per 15 minutes | 2,010 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
8 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) | 4 | 10 | 61,180 | $110 | $9.2M |
| H2010 | Comprehensive medication services, per 15 minutes | 28 | 50 | 3,690 | $130 | $1.6M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 96 | 290 | 860 | $80 | $805.1K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 8 | 10 | 5,260 | $10 | $78.6K |
| H2000 | Comprehensive multidisciplinary evaluation | 29 | 90 | 70 | $100 | $35.4K |
| 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 | 950 | $1 | $6.5K |
| 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… | 4 | 10 | 50 | $10 | $2.8K |
| 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… | 1 | 10 | 70 | $1 | $130 |
Other providers in the same ZIP code as Metro Treatment Of Maine LP, ranked by combined Medicare and Medicaid revenue.
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