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    OpenPayerNPI Medicare & MedicaidWilliamsport Family Medical Center, LLC
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    Williamsport Family Medical Center, LLC — Billing Profile & Reimbursement Data

    NPI 1881954865 · Williamsport, PA · Methadone Clinic

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    Williamsport Family Medical Center, LLC is a methadone clinic provider located in Williamsport, Pennsylvania. This profile covers 1 Medicare and 9 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
    OrganizationWilliamsport Family Medical Center, LLC
    Address422 Park Ave
    CityWilliamsport
    StatePA
    ZIP17701
    TaxonomyMethadone Clinic
    NPI EnumeratedMay 23, 2012

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

    Payer SourceTotal Paid
    Medicaid$6.5M
    Medicare$96.1K

    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.

    1 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…420$230$96.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G20674050540$230$136.1K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G9012Other specified case management service not elsewhere classified9,620$260$2.5M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)299,600$10$2.4M
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…14,220$50$668.1K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…5,200$90$472.8K
    T1015Clinic visit/encounter, all-inclusive3,850$80$307.8K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…2,470$60$155.3K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.200$80$15.9K
    99212The 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,…130$90$12.5K
    99407The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.30$40$950

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive4011,690760$170$1.2M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)148074,580$10$1.2M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…2446902,240$80$1M
    G9012Other specified case management service not elsewhere classified18320770$260$758K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…575401,490$50$316.4K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…1543402,010$50$269.8K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.543980310$50$136.6K
    99212The 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,…6811,63090$30$22K
    99407The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.264040$20$6K

    Nearby Providers

    Other providers in the same ZIP code as Williamsport Family Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hope Enterprises, Inc.PAVoluntary or Charitable Agency$0$36.1M
    River Valley HealthPAFederally Qualified Health Center (FQHC)$0$22.2M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$17.6M
    Crossroads Counseling, IncPAClinic/Center$0$11.2M
    Pediatric Services Of America, LLCPAHome Health Agency$0$10.8M
    Upmc WilliamsportPAGeneral Acute Care Hospital$0$9.7M
    Diakon Child, Family & Community MinistriesPACommunity/Behavioral Health Agency$0$9.1M
    Lycoming-clinton Joinder BoardPACase Management Agency$0$8.4M
    Lycoming-clinton Mhmr ProgramPAPsychologist$0$7.8M
    Maxim Healthcare Services, Inc.PAHome Health Agency$0$7.7M

    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. Pennsylvania Distribution
    Williamsport Family Medical Center, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Williamsport Family Medical Center, LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania