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

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

Yellowstone Boys And Girls Ranch (NPI 1265556757)

Field	Value
Entity Type	Organization
Organization	Yellowstone Boys And Girls Ranch
Address	1732 S 72nd St W
City	Billings
State	MT
ZIP	59106
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Key Findings

YELLOWSTONE BOYS AND GIRLS RANCH is an Adolescent and Children Mental Health Clinic/Center in BILLINGS, MT, with an NPI enumerated on 2007-03-19 (~19 years ago). Its lifetime billing profile is effectively single-payer: there is no Medicare billing on file and $8.7M in Medicaid revenue, indicating the organization’s patient base and reimbursement activity are concentrated in Medicaid-funded pediatric/adolescent behavioral health services.

Revenue concentration is high: the provider’s top three Medicaid codes (H2012, H2019, 90837) account for 78.3% of its total Medicaid revenue. Those three contributors are H2012 ($4M, 45.5% of Medicaid revenue), H2019 ($1.5M, 17.4%), and 90837 ($1.3M, 15.3%), highlighting a narrow set of services driving most payments.

The mix of high-volume codes indicates an operation focused on intensive outpatient/day treatment and high-duration psychotherapy. H2012 (Behavioral health day treatment, per hour) and H2019 (Therapeutic behavioral services, per 15 minutes) together point to structured day-treatment and behavioral intervention programs, while 90837 (long psychotherapy sessions) and large counts of 90853 (group psychotherapy) show substantial investment in both individual long sessions and group therapy.

Volume metrics show large encounter counts in core service lines: H2012 reports 63.2K claims, H2019 56.5K claims, and 90837 14.9K claims, supporting a high-throughput behavioral health model. These claim counts, combined with the dollar concentrations above, imply the provider’s clinical operations deliver many repeated therapy encounters rather than a broad diversity of procedure types.

Competitive standing varies by service line within the state. For individual long psychotherapy 90837 the provider ranks #13 of 1203 providers in-state (99th percentile; extreme outlier), indicating a regional outlier-level scale for that code, while its H2012 ranking (#3 of 15, 86th percentile; typical, unremarkable volume) and H2019 ranking (#4 of 36, 91th percentile; typical, unremarkable volume) are strong but described in the underlying data as typical for those specialty provider pools.

Several additional codes further characterize service intensity and specialization: 90853 (group psychotherapy) is an extreme outlier with 22.3K claims and $356.9K revenue (4.1% of Medicaid revenue) and ranks #4 of 106 in-state (97th percentile), and evaluation/assessment codes like 90791 (3.1K claims, $310.3K, 3.5% of Medicaid revenue) rank #9 of 190 (96th percentile; notably above typical state volume), underscoring substantial assessment and group-service capacity.

The absence of Medicare billing combined with concentrated Medicaid revenue suggests payer mix and patient-age profile implications: the provider appears specialized in child and adolescent Medicaid populations rather than older adult/Medicare populations. That payer concentration could materially affect contracting leverage and financial risk exposure tied to Medicaid policy and reimbursement changes.

Taken together, the clinic’s ~19-year tenure, high claim volumes for day-treatment and psychotherapy codes, and the fact that the top three codes drive 78.3% of Medicaid revenue paint a picture of an established, Medicaid-focused behavioral health provider with deep operational scale in a few intensive service lines rather than a broad multi-payor outpatient practice.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	63,240	$60	$4M
H2019	Therapeutic behavioral services, per 15 minutes	56,470	$30	$1.5M
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…	14,890	$90	$1.3M
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…	6,780	$60	$406.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	22,310	$20	$356.9K
90832	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…	7,140	$50	$321.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,100	$100	$310.3K
H2020	Therapeutic behavioral services, per diem	3,780	$80	$305.9K
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…	1,500	$70	$98.7K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	480	$90	$41K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Yellowstone Boys And Girls Ranch — 5 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	3	20	27,640	$60	$2M
H2020	Therapeutic behavioral services, per diem	5	10	1,970	$120	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	4	40	3,280	$50	$759.9K
S9480	Intensive outpatient psychiatric services, per diem	2	10	5,610	$100	$571.1K
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…	13	1,200	750	$80	$143.2K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	3	10	100	$70	$72.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4	110	1,250	$10	$50.5K
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…	6	50	240	$60	$42.5K
90832	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…	8	170	310	$20	$38.7K
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…	12	230	300	$30	$38.1K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Yellowstone Boys And Girls Ranch, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yellowstone Boys And Girls Ranch	MT	Psychiatry Physician	$0	$1.4M
Yellowstone Boys And Girls Ranch	MT	Addiction (Substance Use Disorder) Counselor	$0	$609.5K
Erin Amato	MT	Psychiatry Physician	$23.3K	$0
Kaitlin Staebler	MT	Physician Assistant	$12.1K	$0
Jorey Egeland	MT	Physician Assistant	$3K	$0

Nearby Providers

Other providers in the same ZIP code as Yellowstone Boys And Girls Ranch, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tendernest LLC	MT	Assisted Living Facility	$0	$7.1M
Discreet Solutions Inc.	MT	Community/Behavioral Health Agency	$0	$4.7M
Yellowstone Boys And Girls Ranch	MT	Case Management Agency	$0	$3.5M
Summit Oral Surgery & Implant Center	MT	Oral and Maxillofacial Surgery (Dentist)	$0	$2.5M
Courtney French	MT	Professional Counselor	$0	$484.2K
Lisa Matovich-brooke	MT	Mental Health Counselor	$0	$323K
Mt Oms Specialty Dental Services, PLLC	MT	Oral and Maxillofacial Surgery (Dentist)	$0	$234K
Costco Wholesale Corporation	MT	Community/Retail Pharmacy	$190.1K	$0
Michael Power	MT	Ophthalmology Physician	$169.1K	$0
James Priddy	MT	Ophthalmology Physician	$157.9K	$0

Yellowstone Boys And Girls Ranch — Billing Profile & Reimbursement Data

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Yellowstone Boys And Girls Ranch — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References