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.

Pyramid Walden LLC (NPI 1538696869)

Field	Value
Entity Type	Organization
Organization	Pyramid Walden LLC
Address	30007 Business Center Dr
City	Charlotte Hall
State	MD
ZIP	20622
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 17, 2017

Payer Source	Total Paid
Medicaid	$27.5M
Medicare	$0

Key Findings

PYRAMID WALDEN LLC is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reports total Medicaid revenue of $27.5M. The absence of Medicare activity combined with substantial Medicaid receipts indicates the provider’s patient mix and reimbursement dependence are heavily skewed toward Medicaid-covered populations.

Revenue is highly concentrated into a very small set of procedure codes — the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue. That extreme concentration means the organization’s financial performance is tightly tied to reimbursement and utilization dynamics for those specific codes (W7350, W7370, W7375).

The three leading Medicaid codes show both high volume and differentiated payment levels: W7350 has 60.6K claims with a $203 avg paid/claim for $12.3M revenue; W7370 has 33.3K claims with a $242 avg paid/claim for $8.1M revenue; and W7375 has 19.6K claims with a $366 avg paid/claim for $7.2M revenue. W7350 is the single largest revenue driver by claim count and dollar amount, while W7375 delivers the highest average payment per claim.

Against in-state peers, the provider is a leading participant on two of the three top codes: W7350 ranks #4 of 88 providers in-state (97th percentile) and W7375 ranks #2 of 31 providers in-state (97th percentile), signaling notably above-typical state volume for those services. By contrast, W7370 ranks #9 of 37 providers (78th percentile), which is more typical and less dominant within that specific procedure market.

Business/service-line implications align with the listed taxonomy: as a Substance Abuse Rehabilitation Facility, the concentration into three Medicaid billable codes suggests an operational model focused on a narrow set of high-throughput, Medicaid-reimbursed services. Because code descriptions are not available in the file, the billing profile must be interpreted cautiously, but the pattern reflects a concentrated service mix rather than a broad, diversified outpatient portfolio.

The payment mix across the three codes shows meaningful variation in intensity or valuation per encounter: avg paid/claim ranges from $203 for W7350 to $366 for W7375. That spread indicates the provider captures both high-volume, lower-paid encounters and lower-volume, higher-paid encounters — a combination that shapes overall revenue and cash flow characteristics.

Tenure is modest but established: the NPI was enumerated on 2017-05-17 (~9 years ago). Achieving $27.5M in Medicaid revenue within that timeframe suggests substantial scale-up of Medicaid activity since enumeration, concentrated on the three listed codes.

The concentrated Medicaid footprint creates both strategic leverage and operational risk: dominance on W7350 and W7375 gives the provider measurable market standing in those code lines, but relying on three codes for 100.0% of Medicaid revenue makes PYRAMID WALDEN sensitive to reimbursement, policy changes, or utilization shifts affecting those specific codes. Analysts should monitor any state-level policy or rate changes for W7350, W7370, and W7375 as potential drivers of near-term revenue volatility.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7350	N/A	60,600	$200	$12.3M
W7370	N/A	33,280	$240	$8.1M
W7375	N/A	19,600	$370	$7.2M

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

Pyramid Walden LLC — 2 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7370	N/A	9	40	4,410	$300	$4.5M
W7375	N/A	2	30	5,510	$380	$2.9M
W7350	N/A	4	90	4,960	$220	$2.7M

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pyramid Walden, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$16.7M
Pyramid Walden, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$4.8M

Nearby Providers

Other providers in the same ZIP code as Pyramid Walden LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dana Kim, Dmd, LLC	MD	Dental Clinic/Center	$0	$4.2M
Kathleen Settle-ladonna	MD	Radiation Oncology Physician	$858.9K	$0
Aileen Kim	MD	Radiation Oncology Physician	$774.2K	$0
Marc Malouf	MD	Ophthalmology Physician	$380.7K	$0
Arpana Shah	MD	Dermatology Physician	$307.8K	$0
Charles Reel	MD	Neurology Physician	$272.2K	$0
Reena Thomas	MD	Neurology Physician	$106.1K	$0
Olayemi Adedoja	MD	Family Nurse Practitioner	$97.8K	$0

Pyramid Walden LLC — Billing Profile & Reimbursement Data

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Pyramid Walden LLC — 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