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

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

Youngs Healthcare Inc. (NPI 1164722237)

Field	Value
Entity Type	Organization
Organization	Youngs Healthcare Inc.
Address	7018 Evergreen Ct Ste 5a
City	Annandale
State	VA
ZIP	22003
Taxonomy	Home Health Agency
NPI Enumerated	October 23, 2010

Payer Source	Total Paid
Medicaid	$54M
Medicare	$0

Key Findings

YOUNGS HEALTHCARE INC. is a home health agency based in ANNANDALE, VA, with its NPI enumerated on 2010-10-23 (~16 years ago), indicating an established presence in the market. The taxonomy and tenure are consistent with a mature community-based personal care operator rather than a newly formed entity.

This provider reports $54M in lifetime Medicaid revenue and has none (no Medicare billing on file), making its realized payer footprint effectively single-payer Medicaid. Analysts should treat Medicaid policy and state-level payment changes as the primary drivers of this entity's revenue trajectory.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. Within that mix, T1019 alone accounts for 89.6% of Medicaid revenue, T1005 for 9.8%, and G2021 for 0.6%, which together explain virtually the provider's entire Medicaid book.

The code mix (dominance of T1019 – personal care services per 15 minutes – and material use of T1005 – respite care services) signals a business model focused on high-volume, in-home personal care and caregiver relief rather than traditional skilled home health services. Average paid-per-claim levels ($203 for T1019 and $100 for T1005) and the high claim counts are consistent with a labor- and visit-intensive operating model.

On competitive standing for its principal code, T1019 ranks #9 of 758 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), which positions YOUNGS HEALTHCARE as a dominant statewide provider for Medicaid personal care services. T1005 ranks #12 of 574 (98th percentile; notably above typical state volume), indicating the provider is also a major statewide player in respite care.

Smaller lines show mixed signals: G2021 (rank #7 of 293, 98th percentile; notably above typical state volume) generates $345.3K (0.6% of Medicaid revenue) with a high $1001 avg paid/claim, suggesting occasional higher-reimbursement practitioner-level interventions. By contrast, G0299 produces only $220 (0.0% of Medicaid revenue) and ranks #214 of 223 (4th percentile; typical, unremarkable volume), indicating negligible skilled nursing home-health billing.

Operational metrics underline scale: the provider reported 238.1K claims for T1019 and 52.9K claims for T1005, which together drive almost all Medicaid revenue and imply a sizable field workforce and visit throughput to support those volumes. Those claim volumes, paired with the average payments cited, point to a high-frequency, lower-unit-payment care delivery model typical of Medicaid personal care.

The concentrated Medicaid-only footprint represents both a competitive advantage and a vulnerability: YOUNGS HEALTHCARE’s top statewide ranks give it strong market leverage in in-home personal care and respite, but the dependence on a very small set of codes (100.0% of Medicaid revenue concentrated in the top three) and absence of Medicare billing suggest material exposure to state Medicaid policy, coding edits, or rate changes; diversification across payers or service lines would materially change that risk profile.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	238,080	$200	$48.3M
T1005	Respite care services, up to 15 minutes	52,880	$100	$5.3M
G2021	Health care practitioners rendering treatment in place (tip)	350	$1,000	$345.3K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	60	$1	$220

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Youngs Healthcare Inc. — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	9	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	12	570	4,400	$80	$831.8K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	214	220	1,700	$40	$189.3K
G2021	Health care practitioners rendering treatment in place (tip)	7	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Friends Health Care Team, Inc.	VA	Home Health Agency	$0	$92.5M
Evergreen Health Care Management LLC	VA	Home Health Agency	$0	$38.5M
Spring Home Care Corporation	VA	Personal Care Attendant	$0	$29.7M
St. John's Community Services- Virginia	VA	Developmentally Disabled Services Day Training Agency	$0	$23.2M
America's Nursing, Inc	VA	Home Health Agency	$0	$22.6M
Esprit Home Healthcare LLC	VA	Home Health Agency	$0	$16.1M
Absolute Life Care Services Inc	VA	Home Health Agency	$0	$12.9M
Rg Home Health Care Inc	VA	Home Health Agency	$0	$12.4M
Assurance Healthcare Services, LLC	VA	Adult Care Home Facility	$0	$9.6M
Green Garden Home Care Corporation	VA	In Home Supportive Care Agency	$0	$9.3M

Youngs Healthcare Inc. — Billing Profile & Reimbursement Data

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Youngs Healthcare 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