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 Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

Hoyleton Youth And Family Services (NPI 1083073977)

Field	Value
Entity Type	Organization
Organization	Hoyleton Youth And Family Services
Address	8 Executive Dr
City	Fairview Heights
State	IL
ZIP	62208
Taxonomy	Foster Care Agency
NPI Enumerated	February 19, 2016

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	39,730	$110	$4.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	24,530	$110	$2.6M
H2000	Comprehensive multidisciplinary evaluation	7,720	$100	$803.2K
T1016	Case management, each 15 minutes	14,750	$50	$722.9K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	25,460	$20	$509.2K
H2011	Crisis intervention service, per 15 minutes	2,490	$160	$404K
S9484	Crisis intervention mental health services, per hour	1,020	$330	$331.8K
H0031	Mental health assessment, by non-physician	100	$90	$8.7K
H0032	Mental health service plan development by non-physician	30	$60	$1.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Hoyleton Youth And Family Services — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	51	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	48	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	87	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	61	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	88	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	66	470	1,830	$60	$475.9K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	13	230	2,330	$10	$66.5K
H0031	Mental health assessment, by non-physician	151	220	190	$90	$33.7K
H0032	Mental health service plan development by non-physician	196	220	190	$60	$20.2K

Nearby Providers

Other providers in the same ZIP code as Hoyleton Youth And Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eva Hurst	IL	Clinical & Laboratory Dermatological Immunology Physician	$1.9M	$0
Shakeel Ahmed	IL	Gastroenterology Physician	$156.9K	$1.1M
Rashid Dalal	IL	Nephrology Physician	$266.7K	$380K
Metroeast Endoscopic Surgery Center	IL	Ambulatory Surgical Clinic/Center	$257.3K	$1.1K
James Rybak	IL	Urology Physician	$247.2K	$0
Seth Strope	IL	Urology Physician	$187.5K	$0
Courtney Tobin	IL	Dermatology Physician	$181.3K	$0
Susan Journagan	IL	Dermatology Physician	$174.9K	$1.9K
Maria Wolf	IL	Certified Registered Nurse Anesthetist	$52.2K	$124K
William Critchlow	IL	Urology Physician	$155.4K	$0

Hoyleton Youth And Family Services — Billing Profile & Reimbursement Data

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Hoyleton Youth And Family Services — Billing Profile & Reimbursement Data

Sign up for Hoyleton Youth And Family Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References