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NPI 1942292487 · Baltimore, MD · Public Health or Welfare Agency
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Turning Point is a public health or welfare agency provider located in Baltimore, Maryland. This profile covers 5 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Turning Point |
| Address | 2401 E North Ave |
| City | Baltimore |
| State | MD |
| ZIP | 21213 |
| Taxonomy | Public Health or Welfare Agency |
| NPI Enumerated | August 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $47.9M |
| Medicare | $1.3M |
Turning Point’s revenue mix is heavily Medicaid-weighted: lifetime Medicaid revenue is $47.9M versus total Medicare revenue of $1.3M, indicating the organization operates effectively as a Medicaid-focused provider in scale and financial footprint. This payer concentration suggests program design, capacity, and referral networks are primarily oriented to Medicaid beneficiaries rather than Medicare enrollees.
The provider’s operational model is centered on opioid treatment and medication‑assisted therapy. On the Medicaid side H0020 (methadone administration and/or service) alone accounts for $33.3M and 455.9K claims, while H0004 (behavioral health counseling and therapy) contributes $7.6M and 141.4K claims; on the Medicare side G2067, G2077, and G2078 are the top revenue drivers — this mix points to a high-volume opioid treatment program offering bundled weekly MAT services, counseling, periodic assessments, and take‑home dosing.
Revenue concentration is extreme within both payers: the top three Medicare codes account for 95.4% of the provider’s Medicare revenue, and the top three Medicaid codes account for 88.2% of Medicaid revenue. Those concentration figures indicate revenue is dominated by a narrow set of OTP-related services rather than a broad mix of primary care or specialty procedures.
Turning Point is a dominant statewide player for core Medicaid OTP services. H0020 ranks #1 of 108 providers in-state (100th percentile) and is labeled an "extreme outlier," and H0004 also ranks #1 of 382 in-state (100th percentile) and is an "extreme outlier," signaling market leadership in Maryland for methadone delivery and behavioral health counseling. The sheer volume of H0020 (455.9K claims) positions the organization as a primary supplier of methadone services in the state.
On the Medicare side the provider also shows unusually high activity for OTP codes relative to national peers: G2077 ranks #2 of 352 providers nationally (100th percentile) and is described as an "extreme outlier," while G2067 ranks #24 of 830 (97th percentile) and G2078 ranks #21 of 493 (96th percentile). Although Medicare revenue ($1.3M) is small versus Medicaid, those rank positions indicate the practice is a notable national outlier among Medicare‑enrolled opioid treatment programs for periodic assessment and weekly bundled services.
Service-level details reinforce an OTP operating profile: G2067 and G2074 describe weekly bundles that include dispensing/administration, counseling, therapy, and toxicology testing, G2077 covers periodic assessment, and G2078 covers take‑home methadone supplies. On Medicaid the big-ticket codes H0020 and H0004 map directly to methadone administration and per‑15‑minute counseling respectively, indicating that routine dispensing plus counseling/group therapy are the day‑to‑day revenue drivers and service offerings.
Competitive nuance: several non‑drug E/M codes also appear in the Medicaid top list (99214, 99213, 99212, 99215) but each represents a small share of Medicaid revenue (e.g., 99214 is $1.3M, 2.8% of Medicaid revenue). These E/M volumes (with 99214 at the 95th percentile in-state and others similarly high in percentile rank) suggest the provider supports medical evaluation capacity around its OTP services but that E/M work is secondary to core methadone and counseling cashflows.
Tenure and organizational classification support sustained specialty operations: the NPI was enumerated 2005-08-19 (~21 years ago) and the provider taxonomy is Public Health or Welfare Agency. The long tenure combined with extreme-volume OTP codes indicates an established program with sustained operational capacity for methadone dispensing and behavioral health counseling over many years.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 4,100 | $230 | $948K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 2,260 | $120 | $262.2K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1,550 | $40 | $59K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 300 | $190 | $56.6K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 30 | $160 | $4.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 455,860 | $70 | $33.3M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 141,430 | $50 | $7.6M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 11,800 | $110 | $1.3M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 16,910 | $70 | $1.2M |
| H0001 | Alcohol and/or drug assessment | 6,660 | $170 | $1.1M |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 4,350 | $230 | $1M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 13,620 | $50 | $626.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 4,190 | $150 | $611.9K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 11,720 | $40 | $480.4K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 2,560 | $70 | $166.7K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1 | 110 | 51,720 | $70 | $4.8M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 16 | 40 | 9,260 | $20 | $756.2K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 24 | 50 | 2,370 | $70 | $484.7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1 | 380 | 1,450 | $60 | $459K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 199 | 3,670 | 680 | $90 | $310K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 16 | 30 | 11,420 | $10 | $307.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 145 | 3,280 | 610 | $80 | $296.1K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 56 | 360 | 2,160 | $50 | $284.3K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 2 | 80 | 240 | $240 | $141.1K |
| H0001 | Alcohol and/or drug assessment | 3 | 440 | 190 | $170 | $115.9K |
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Other providers in the same ZIP code as Turning Point, ranked by combined Medicare and Medicaid revenue.
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