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

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

Youth Opportunities Upheld, Inc. (NPI 1245317205)

Field	Value
Entity Type	Organization
Organization	Youth Opportunities Upheld, Inc.
Address	135 Gold Star Blvd
City	Worcester
State	MA
ZIP	01606
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$44.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	139,190	$80	$11.6M
H2019	Therapeutic behavioral services, per 15 minutes	72,840	$150	$10.7M
H0023	Alcohol and/or drug outreach	134,790	$50	$7M
T1027	Family training and counseling for child development, per 15 minutes	47,370	$120	$5.4M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	32,320	$50	$1.7M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	14,740	$80	$1.2M
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…	9,560	$100	$965.9K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	18,900	$50	$963.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7,750	$110	$867.4K
H0037	Community psychiatric supportive treatment program, per diem	210	$3,520	$734.6K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Youth Opportunities Upheld, Inc. — 6 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	16	40	127,370	$50	$8.2M
H2015	Comprehensive community support services, per 15 minutes	114	150	7,770	$140	$4.8M
H2014	Skills training and development, per 15 minutes	176	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	23	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	14	130	4,300	$110	$2.1M
H0037	Community psychiatric supportive treatment program, per diem	3	10	640	$870	$1.4M
T1017	Targeted case management, each 15 minutes	15	30	4,940	$110	$633.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	1,620	580	$80	$599.6K
H0038	Self‑help/peer services, per 15 minutes	18	40	4,420	$80	$471.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	62	1,020	460	$100	$293.7K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Youth Opportunities Upheld, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Suzanne Caron	MA	Obstetrics & Gynecology Physician	$33.2K	$0

Nearby Providers

Other providers in the same ZIP code as Youth Opportunities Upheld, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$282.1M
Reliant Medical Group, Inc	MA	Family Medicine Physician	$0	$101.8M
Massachusetts Rehabilitation Commission	MA	Community/Behavioral Health Agency	$0	$64.6M
Epic Health Services Inc	MA	Home Health Agency	$0	$49.7M
Elder Services Of Worcester Area, Inc	MA	Case Management Agency	$0	$48.3M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$29M
Abba Home Care, LLC	MA	Home Health Agency	$0	$18.9M
Vna Care Network, Inc.	MA	Home Health Agency	$0	$13.5M
Seven Hills Aspire, Inc.	MA	Respite Care	$0	$11.4M
Advocates, Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M

Youth Opportunities Upheld, Inc. — Billing Profile & Reimbursement Data

Sign up for Youth Opportunities Upheld, Inc. — Billing Profile & Reimbursement Data policy alerts

Youth Opportunities Upheld, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References