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NPI 1902012123 · Manchester, NH · Methadone Clinic
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Metro Treatment Of New Hampshire, LP is a methadone clinic provider located in Manchester, New Hampshire. This profile covers 5 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 | Metro Treatment Of New Hampshire, LP |
| Address | 140 March Ave |
| City | Manchester |
| State | NH |
| ZIP | 03103 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | May 15, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $15.4M |
| Medicare | $859.8K |
This provider is effectively Medicaid-centric: lifetime Medicaid revenue is $15.4M compared with $859.8K in Medicare, indicating the bulk of billing and cash flow is driven by Medicaid patients rather than Medicare beneficiaries. The scale gap suggests operational focus and payer relationships are primarily aligned with state Medicaid contracts and dosing/dispensing workflows that serve Medicaid enrollees.
The clinical/service mix and code distribution identify METRO TREATMENT OF NEW HAMPSHIRE, LP as an opioid treatment program focused on methadone delivery and bundled medication-assisted treatment services. High-revenue codes include H0020 (methadone administration/service) and G2067 (weekly MAT bundle including dispensing, counseling, therapy, and toxicology testing), which together reflect core OTP activities—daily dispensing, counseling and periodic toxicology monitoring are central to the operation.
Revenue is highly concentrated in a very small set of procedure codes for both payers: the top 3 Medicare codes account for 98.9% of Medicare revenue, and the top 3 Medicaid codes account for 97.7% of Medicaid revenue. This concentration indicates limited revenue diversification outside of core OTP services and implies financial sensitivity to reimbursement or utilization changes for those few codes.
On the Medicare side, G2067 dominates Medicare billing: it generated $823K (95.7% of this provider's total Medicare revenue), and the provider ranks #31 of 830 nationally (96th percentile) for that code. Supporting Medicare activity is limited to small volumes of periodic assessment and take-home supply codes such as G2077 and G2078, which together make up most of the remaining Medicare revenue and are described in the dataset as typical, unremarkable volumes for those codes.
Within Medicaid, H0020 is the primary driver—1.4M claims produced $12.3M (81.0% of the provider's total Medicaid revenue) and the provider ranks #1 of 9 in-state (100th percentile), characterized as notably above typical state volume for this code. G2067 also contributes meaningfully to Medicaid revenue ($2.2M, 14.3%) and ranks #2 of 8 in-state (86th percentile), indicating the clinic captures leading in-state volume across both drug-dispensing and bundled MAT services.
Two Medicaid codes tied to take-home dosing and dispensing logistics stand out as local outliers: G2078 (3.4K claims, $119.9K revenue) ranks #1 of 8 in-state (100th percentile) and is labeled notably above typical state volume, and H0020’s top-in-state position similarly marks the clinic as a dominant state provider for direct methadone administration. These statistical labels and rank positions point to operational scale in dispensing and take-home management that exceeds most in-state peers.
Non-OTP services (behavioral counseling and E/M visits) appear as smaller, supportive revenue lines: H0004 generated $369.3K (2.4% of Medicaid revenue) and 99214 produced $47.6K (0.3% of Medicaid revenue), both described as typical volumes. The presence of H0004, H0005 and occasional E/M codes suggests integrated counseling and clinic-based clinical management, but these services are secondary to high-volume dispensing and MAT bundles.
The provider shows institutional longevity with an NPI enumeration date of 2007-05-15 (~19 years ago), consistent with an established OTP presence in Manchester, NH. Given the concentrated code mix and the provider’s top-in-state ranks for core dispensing codes, the organization appears operationally mature and heavily dependent on state Medicaid flows for methadone services, with limited Medicare exposure relative to its Medicaid scale.
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… | 3,400 | $240 | $823K |
| 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… | 150 | $120 | $17.4K |
| 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 | 240 | $40 | $9.4K |
| 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… | 40 | $190 | $7.5K |
| 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 | $180 | $2.3K |
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.
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) | 1,371,350 | $10 | $12.3M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 19,340 | $110 | $2.2M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5,680 | $70 | $369.3K |
| 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 | 3,430 | $40 | $119.9K |
| H0001 | Alcohol and/or drug assessment | 760 | $130 | $100.5K |
| 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… | 780 | $60 | $47.6K |
| 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… | 300 | $70 | $19.7K |
| 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… | 420 | $40 | $14.6K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 480 | $30 | $12.1K |
| 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… | 130 | $90 | $12.1K |
Showing 1–10 of 16
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
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) | 1 | 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… | 2 | 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… | 184 | 420 | 480 | $50 | $223.9K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 8 | 70 | 1,260 | $80 | $202.1K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 14 | 30 | 340 | $20 | $72.6K |
| H0001 | Alcohol and/or drug assessment | 10 | 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 | 1 | 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… | 55 | 100 | 170 | $70 | $51.3K |
| 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… | 22 | 30 | 100 | $120 | $41.3K |
| H0033 | Oral medication administration, direct observation | 5 | 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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