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

Why is the Medicaid comparison limited to West 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. West 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.

Yore Academy, Inc. (NPI 1295972248)

Field	Value
Entity Type	Organization
Organization	Yore Academy, Inc.
Address	7 Crosswind Drive
City	Fairmont
State	WV
ZIP	26554
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	January 13, 2009

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	44,420	$80	$3.7M
H0032	Mental health service plan development by non-physician	1,210	$50	$55.8K
A0160	Non-emergency transportation: per mile - case worker or social worker	340	$40	$15K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10	$40	$440
H0004	Behavioral health counseling and therapy, per 15 minutes	30,520	$0	$0
T1017	Targeted case management, each 15 minutes	1,440	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Yore Academy, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	8	40	12,160	$150	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	33	170	8,500	$80	$1.5M
A0160	Non-emergency transportation: per mile - case worker or social worker	94	110	2,030	$50	$278.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,260	1,270	1,240	$30	$245K
H0032	Mental health service plan development by non-physician	14	60	280	$80	$141.9K
T1017	Targeted case management, each 15 minutes	45	110	970	$20	$95.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monongahela Valley Association Of Health Centers, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$16.6M
Alecto Healthcare Services Fairmont LLC	WV	General Acute Care Hospital	$0	$11.7M
Radiological Physician Associates Inc	WV	Diagnostic Radiology Physician	$0	$11.1M
Bbc Rehab, Pc,inc	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.5M
Bioscrip Infusion Services, LLC	WV	Home Infusion Therapy Pharmacy	$0	$8.8M
Marion County Rescue Squad Inc	WV	Land Ambulance	$833K	$7.6M
Family Service Of Marion & Harrison Counties Inc	WV	Community/Behavioral Health Agency	$0	$5.5M
Essential Needs Homecare	WV	In Home Supportive Care Agency	$0	$4.7M
Yale Academy LLC	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.8M
Youth Academy, LLC	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.8M

Yore Academy, Inc. — Billing Profile & Reimbursement Data

Sign up for Yore Academy, Inc. — Billing Profile & Reimbursement Data policy alerts

Yore Academy, Inc. — Billing Profile & Reimbursement Data

Sign up for Yore Academy, Inc. — 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