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

Why is the Medicaid comparison limited to New York 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. New York (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.

Together For Youth (NPI 1245351170)

Field	Value
Entity Type	Organization
Organization	Together For Youth
Address	13640 Rte 22
City	Canaan
State	NY
ZIP	12029
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$28.8M
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
H0004	Behavioral health counseling and therapy, per 15 minutes	108,920	$90	$9.8M
S5145	Foster care, therapeutic, child; per diem	57,710	$140	$8M
H0041	Foster care, child, non-therapeutic, per diem	109,520	$50	$5.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	31,130	$130	$4.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	19,480	$60	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	1,790	$70	$123.4K
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…	420	$200	$86.5K
H2011	Crisis intervention service, per 15 minutes	450	$160	$70.8K
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…	70	$110	$7.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Together For Youth — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	9	70	6,510	$180	$3.9M
H0041	Foster care, child, non-therapeutic, per diem	6	50	13,270	$50	$2.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	20	100	5,790	$110	$1.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	68	120	2,410	$90	$872.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	2	270	1,340	$110	$658.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4	1,320	140	$260	$334K
H2011	Crisis intervention service, per 15 minutes	70	140	410	$140	$241.7K
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…	11,433	16,550	220	$90	$186.8K
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…	461	2,050	90	$140	$121.2K

Together For Youth — Billing Profile & Reimbursement Data

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Together For Youth — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References