Every prescriber is a competitor now
Before 2023, prescribing buprenorphine required the DATA-Waiver, and the list of waivered prescribers in a county was short enough to memorize. Congress removed that requirement and the constraint on supply went with it. Family medicine practices added it. Urgent cares added it. Telehealth companies with national ad budgets added it everywhere at once.
Demand did not grow at the same rate. So a clinic that used to rank by default now competes against practices with no addiction specialty at all and a faster intake.
The advantage a real MAT program still holds is depth: counseling, case management, same-day starts, on-site dosing, wraparound services. None of it is visible in a search result until somebody writes it down on the page.