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.

Divine Light Residential Treatment LLC (NPI 1962147082)

Field	Value
Entity Type	Organization
Organization	Divine Light Residential Treatment LLC
Address	1200 W Baltimore St
City	Baltimore
State	MD
ZIP	21223
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 3, 2022

Payer Source	Total Paid
Medicaid	$33.9M
Medicare	$0

Key Findings

DIVINE LIGHT RESIDENTIAL TREATMENT LLC is effectively a single-payer Medicaid provider—there is no Medicare billing on file and lifetime Medicaid revenue is $33.9M. Its taxonomy is Substance Abuse Rehabilitation Facility, which aligns with the code mix concentrated in behavioral health treatment services. The provider’s NPI was enumerated on 2022-05-03 (~4 years ago).

Revenue is extremely concentrated in a small set of behavioral-health codes: the precomputed top 3 Medicaid codes account for 97.5% of the provider’s total Medicaid revenue. The three codes driving this concentration are H2036 ($19.1M, 56.3%), H0015 ($12.2M, 36.0%), and 99213 ($1.8M, 5.2%), which together explain nearly all billed Medicaid dollars. This concentration implies the organization’s financial performance is tightly linked to a few service lines.

The code H2036 (Alcohol and/or other drug treatment program, per diem) is the single largest revenue driver with $19.1M in revenue from 63.1K claims and $302 avg paid/claim. DIVINE LIGHT ranks #1 of 115 providers in-state for H2036 (100th percentile; extreme outlier), indicating it is a dominant state provider for per‑diem residential substance use treatment relative to peers.

H0015 (intensive outpatient services) is the second major revenue source with $12.2M from 68.1K claims at $179 avg paid/claim, and the provider ranks #7 of 397 in-state (98th percentile; extreme outlier). This high-volume ranking for both per‑diem residential and intensive outpatient codes indicates the organization operates at scale across multiple levels of substance use care, not just a single modality.

The presence of substantial E/M billing via 99213 ($1.8M, 18.2K claims, $97 avg paid/claim) and notable counts for 99205 ($372.8K, 1.6K claims, $237 avg) and H0001 ($463.7K, 2.3K claims, $204 avg) shows the facility furnishes routine outpatient evaluation/management and assessment services in addition to program-based treatment. 99213 ranks #133 of 3275 in-state (96th percentile; typical, unremarkable volume), suggesting that while E/M services are meaningful to revenue mix, they are a standard part of practice rather than a market outlier.

From a competitive-stance perspective, the provider is a major statewide player for core substance use treatment codes: H2036 is an extreme outlier at the top statewide rank, and H0015 is also an extreme outlier in the 98th percentile. For ancillary E/M codes the provider’s volumes are high but more consistent with many peers, so its distinctive advantage is concentrated in treatment program billing rather than general medical office visitation.

The claim and payment profile indicates differing reimbursement structures across its services: H2036 yields a substantially higher avg paid/claim ($302) than H0015 ($179), while intensive outpatient has slightly higher claim counts (68.1K) than per‑diem (63.1K). This suggests the provider combines a high-volume outpatient-intensive model with a per‑diem residential model, which together shape overall revenue and operational throughput.

Given the NPI enumeration date of 2022-05-03 (~4 years ago) and the reported $33.9M in Medicaid revenue concentrated in a few codes, DIVINE LIGHT appears to have scaled quickly into high-volume behavioral health service lines. That rapid accumulation of claim volume and revenue in H2036 and H0015 positions the provider as a materially large operator in Maryland’s substance use treatment market within a relatively short operating window.

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
H2036	Alcohol and/or other drug treatment program, per diem	63,130	$300	$19.1M
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…	68,100	$180	$12.2M
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…	18,230	$100	$1.8M
H0001	Alcohol and/or drug assessment	2,270	$200	$463.7K
99205	The provider sees a new 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 provider…	1,570	$240	$372.8K

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

Divine Light Residential Treatment LLC — 4 of 5 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
H2036	Alcohol and/or other drug treatment program, per diem	1	120	2,300	$270	$2.3M
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…	7	400	4,360	$160	$1.5M
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…	133	3,280	610	$80	$296.1K
H0001	Alcohol and/or drug assessment	34	440	190	$170	$115.9K
99205	The provider sees a new 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 provider…	13	530	60	$170	$39.8K

Nearby Providers

Other providers in the same ZIP code as Divine Light Residential Treatment LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Maryland Medical Center, LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18M
University Of Maryland Medical Center, LLC	MD	Methadone Clinic	$688.9K	$16.5M
Ronald B Montano Dds PC	MD	General Practice Dentistry	$0	$12.3M
Caring Hands Amdc Of Greater Baltimore, Inc	MD	Adult Day Care Clinic/Center	$0	$6.9M
Cmds Residential	MD	Substance Abuse Rehabilitation Facility	$0	$6.2M
Denoor Healthcare Services Inc	MD	Community/Behavioral Health Agency	$0	$5.7M
Grace Medical Center, Inc.	MD	Substance Use Disorder Rehabilitation Hospital Unit	$263.3K	$4.3M
Redeem Healthcare And Medical Systems 11 Inc	MD	Methadone Clinic	$51.6K	$1.8M
Warren Smith	MD	Cardiovascular Disease Physician	$39.5K	$170K
Preetinder Sandhu	MD	Internal Medicine Physician	$179.3K	$0

Divine Light Residential Treatment LLC — Billing Profile & Reimbursement Data

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Divine Light Residential Treatment 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

Nearby Providers

Frequently Asked Questions

References