Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gaudenzia Inc (NPI 1093235954)

Field	Value
Entity Type	Organization
Organization	Gaudenzia Inc
Address	4615 Park Heights Ave
City	Baltimore
State	MD
ZIP	21215
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	June 22, 2017

Payer Source	Total Paid
Medicaid	$35.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: GAUDENZIA INC reports $35.2M in lifetime Medicaid revenue and has no Medicare billing on file, indicating a single-payer footprint concentrated in Medicaid. Its NPI was enumerated on 2017-06-22 (~9 years ago), consistent with an established presence in the market and a taxonomy listed as Substance Abuse Rehabilitation Facility.

Revenue is highly concentrated in a very small set of procedure codes: the top three Medicaid codes (W7370, W7375, W7350) account for 96.5% of the provider's total Medicaid revenue. That concentration points to a narrow service mix where a handful of billable interventions drive nearly all reimbursement.

W7375 is a statewide dominant revenue driver for this provider: it represents $11.8M (33.6% of the provider's Medicaid revenue), with 31K claims and a $381 avg paid/claim, and it ranks #1 of 31 providers in-state (100th percentile), described as notably above typical state volume. This ranking signals that GAUDENZIA is the top in-state reporter for that specific billed service.

W7370 is the single largest revenue line by dollar amount: $15.6M (44.3% of the provider's Medicaid revenue) from 50.7K claims at a $307 avg paid/claim, and it ranks #2 of 37 providers in-state (97th percentile) and is also described as notably above typical state volume. Together with W7375, W7370 establishes the provider as a major in-state participant for these high-volume Medicaid services.

W7350 contributes $6.6M (18.7% of Medicaid revenue) from 30.6K claims at a $215 avg paid/claim and ranks #11 of 88 providers in-state (89th percentile), a position characterized as typical or unremarkable volume. Although materially important to the provider's top-line Medicaid revenue, W7350 does not reflect the same outlier status as the top two codes.

Smaller codes are peripheral to the business: W7330 accounts for $1.2M (3.5% of Medicaid revenue) with 5.7K claims, and RESRB shows 221 claims with $0 revenue (0.0% of Medicaid revenue). These lines are minor contributors relative to the three primary codes and do not materially change the concentration profile.

From a service-line perspective, the combination of a Substance Abuse Rehabilitation Facility taxonomy and a Medicaid revenue base dominated by three codes suggests the organization operates a focused SUD treatment model that relies on a narrow set of Medicaid-billable services. The absence of Medicare billing combined with code concentration implies operational specialization on Medicaid-covered substance use disorder services rather than a broad mixed-payer or acute-care portfolio.

The narrow payer and code mix create both commercial leverage and operational risk: GAUDENZIA's status as a top statewide reporter on W7375 (100th percentile) and a near-top reporter on W7370 (97th percentile) gives it market clout for those services, but the fact that 96.5% of Medicaid revenue is tied to three codes means changes in utilization patterns, eligibility, or Medicaid reimbursement policy for those specific codes could materially impact revenue. Tenure since 2017-06-22 (~9 years ago) suggests these patterns are established rather than transitory.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7370	N/A	50,680	$310	$15.6M
W7375	N/A	30,960	$380	$11.8M
W7350	N/A	30,560	$220	$6.6M
W7330	N/A	5,680	$220	$1.2M
RESRB	N/A	220	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Gaudenzia Inc — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7370	N/A	2	40	4,410	$300	$4.5M
W7375	N/A	1	30	5,510	$380	$2.9M
W7350	N/A	11	90	4,960	$220	$2.7M
W7330	N/A	22	50	3,890	$220	$2M
RESRB	N/A	9	10	340	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gaudenzia Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$40M
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$23.6M
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$21.4M
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.4M
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$13.2M
Gaudenzia Inc	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.3M
Gaudenzia Inc	PA	Clinic/Center	$0	$9.2M
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9M
Gaudenzia Inc	PA	Clinic/Center	$0	$8.5M
Gaudenzia	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.9M

Nearby Providers

Other providers in the same ZIP code as Gaudenzia Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maryland Medical Day Services, LLC	MD	Adult Day Care Clinic/Center	$0	$24.7M
People Encouraging People, Inc.	MD	Mental Health Counselor	$0	$21.6M
Associated Catholic Charities, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
Sarah's House Mental Services LLC	MD	Community/Behavioral Health Agency	$0	$17.8M
King Health Systems, Inc.	MD	Public Health or Welfare Agency	$0	$17.5M
People Encouraging People, Inc.	MD	Mental Health Counselor	$0	$17.3M
Time Outpatient Mental Health Clinic	MD	Community/Behavioral Health Agency	$0	$16.6M
Baltimore Area Community Health Services LLC	MD	Community/Behavioral Health Agency	$0	$16.2M
B.w.medical Supply Co.,inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$15.5M
Park West Health Systems Incorporated	MD	Federally Qualified Health Center (FQHC)	$0	$12.8M

Gaudenzia Inc — Billing Profile & Reimbursement Data

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Gaudenzia Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References