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.

David's Loft Clinical Programs (NPI 1285175273)

Field	Value
Entity Type	Organization
Organization	David's Loft Clinical Programs
Address	2641 Maryland Ave
City	Baltimore
State	MD
ZIP	21218
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	March 10, 2017

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

Medicaid: Complete Services Breakdown

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
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	83,560	$150	$12.5M
H0005	Alcohol and/or drug services; group counseling by a clinician	51,390	$50	$2.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	30,390	$50	$1.5M
H0001	Alcohol and/or drug assessment	1,040	$170	$175.8K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	3,880	$30	$100.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,020	$40	$70.7K
H0038	Self‑help/peer services, per 15 minutes	520	$70	$34.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	270	$10	$3K

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

David's Loft Clinical Programs — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4	400	4,360	$160	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	166	380	1,450	$60	$459K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	13	160	980	$50	$387.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	2	360	2,160	$50	$284.3K
H0001	Alcohol and/or drug assessment	98	440	190	$170	$115.9K
H0038	Self‑help/peer services, per 15 minutes	11	40	260	$70	$62.5K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	4	30	160	$20	$24.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	107	190	390	$10	$14.5K

Nearby Providers

Other providers in the same ZIP code as David's Loft Clinical Programs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Walks Of Life, LLC	MD	Community/Behavioral Health Agency	$0	$27.5M
Concerted Care Group Baltimore, LLC	MD	Case Management Agency	$446.5K	$26.3M
Btst Services, LLC	MD	Community/Behavioral Health Agency	$0	$26M
Btst Services LLC	MD	Mental Health Counselor	$0	$24.3M
Institutes For Behavior Resources, Inc.	MD	Methadone Clinic	$513.4K	$21.2M
Mosaic Community Services, Inc	MD	Rehabilitation Clinic/Center	$0	$16.8M
All Walks Of Life, LLC	MD	Community/Behavioral Health Agency	$0	$16.8M
Man Alive, Inc.	MD	Comprehensive Outpatient Rehabilitation Facility (CORF)	$884.9K	$12.9M
High Hopes, LLC	MD	Community/Behavioral Health Agency	$0	$13.7M
Helping Hands Health Services, Inc	MD	Community/Behavioral Health Agency	$0	$11.4M

David's Loft Clinical Programs — Billing Profile & Reimbursement Data

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David's Loft Clinical Programs — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References