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.

Tuerk House, Inc (NPI 1346776580)

Field	Value
Entity Type	Organization
Organization	Tuerk House, Inc
Address	730 N Ashburton St
City	Baltimore
State	MD
ZIP	21216
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 9, 2017

Payer Source	Total Paid
Medicaid	$30.9M
Medicare	$0

Key Findings

TUERK HOUSE, INC reports no Medicare billing on file and $30.9M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation at scale; this payer concentration means Medicaid policy and rate changes will disproportionately affect the provider’s revenue base. The NPI was enumerated on 2017-05-09 (~9 years ago), indicating the organization has been operating under this enrollment for several years and has established a Medicaid billing footprint during that period.

Revenue is extremely concentrated in a very small set of Medicaid codes: the top three codes account for 99.9% of the provider’s total Medicaid revenue. Specifically, W7370 generates $22.6M (73.1% of this provider's total Medicaid revenue), W7375 generates $7.6M (24.6% of this provider's total Medicaid revenue), and W7350 generates $712.6K (2.3% of this provider's total Medicaid revenue).

The code-level activity suggests a narrow service mix consistent with the provider’s Substance Abuse Rehabilitation Facility taxonomy: most revenue comes from a handful of W7-series codes, implying operations focused on a limited set of Medicaid-covered services rather than a broad portfolio of procedure types. The dominance of these few codes is consistent with a specialized rehab service-line model, where throughput on core services drives the business.

W7370 is a statewide leader for its code: the provider billed 71.1K claims for W7370 with a $318 avg paid/claim and $22.6M revenue, ranking #1 of 37 providers in-state and sitting at the 100th percentile; this is described as notably above typical state volume for this code, indicating market leadership in this specific Medicaid service. Such high absolute claim volume for a single code signals sizable patient throughput or high-frequency service delivery for that billing category.

W7375 is also a major contributor but below the top slot: the provider recorded 19.6K claims with a $389 avg paid/claim and $7.6M revenue for W7375, which represents 24.6% of its Medicaid revenue and ranks #3 of 31 providers in-state at the 93th percentile. This places the provider well above typical state volume for W7375 while still less dominant than its position on W7370, indicating a two-code revenue center where one code is dominant and the other is a significant secondary stream.

Other billed Medicaid codes are comparatively minor: W7350 accounted for 3K claims, $238 avg paid/claim and $712.6K (2.3% of this provider's total Medicaid revenue) and ranks #53 of 88 providers in-state (40th percentile), while W7330 and RESRB together represent negligible shares of revenue. These smaller volumes indicate limited diversification beyond the primary W7 codes and suggest most clinical and billing activity is concentrated in the top two services.

From a risk and business-planning perspective, the provider’s dependence on two high-volume W7 codes (W7370 and W7375 together account for 97.7% of Medicaid revenue) creates sensitivity to reimbursement policy, code-level rate changes, or shifts in Medicaid utilization patterns. For payer/provider analysts, this concentration signals that contract negotiations, utilization management, or policy changes targeting these specific codes would have outsized impact on the provider’s financials.

Competitive standing at the state level is mixed: the provider is a clear leader on W7370 (100th percentile, #1 of 37), a strong but not singular player on W7375 (93th percentile, #3 of 31), and a modest participant on W7350 (40th percentile, #53 of 88). This pattern indicates the organization occupies a dominant niche for one Medicaid service and maintains considerable but not exclusive share in a second service, while holding only routine participation in other code lines.

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	71,070	$320	$22.6M
W7375	N/A	19,560	$390	$7.6M
W7350	N/A	2,990	$240	$712.6K
W7330	N/A	120	$140	$17.2K
RESRB	N/A	390	$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

Tuerk House, Inc — 1 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	1	40	4,410	$300	$4.5M
W7375	N/A	3	30	5,510	$380	$2.9M
W7350	N/A	53	90	4,960	$220	$2.7M
W7330	N/A	54	50	3,890	$220	$2M
RESRB	N/A	5	10	340	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winchester Health LLC	MD	Methadone Clinic	$398.1K	$10.7M
Optimum Health Systems Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.8M
Aaa Management, LLC	MD	Adult Day Care Clinic/Center	$0	$9.5M
New Insights Behavioral Health	MD	Community/Behavioral Health Agency	$0	$7.1M
Misha House, LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.4M
Life Worth Living	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.1M
Hebron House, Inc.	MD	Community/Behavioral Health Agency	$0	$5.3M
New Insights Behavioral Health	MD	Clinical Social Worker	$0	$4.8M
Larry Gaston	MD	Dermatology Physician	$84.5K	$2.1M

Tuerk House, Inc — Billing Profile & Reimbursement Data

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Tuerk House, 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

Nearby Providers

Frequently Asked Questions

References