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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 Villages, Inc. (NPI 1306875695)

Field	Value
Entity Type	Organization
Organization	Youth Villages, Inc.
Address	3320 Brother Blvd
City	Bartlett
State	TN
ZIP	38133
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$615.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused organization with no Medicare billing on file and $615.4M in lifetime Medicaid revenue, indicating a single-payer (Medicaid) operating profile rather than a mixed Medicare/Medicaid practice. The absence of Medicare revenue makes Medicaid policy and managed-care arrangements the primary drivers of its financial health.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 61.2% of this provider’s total Medicaid revenue. The top three contributors are T2048 $183.2M (29.8%), H0037 $118.9M (19.3%), and H0036 $74.7M (12.1%), showing reliance on a small set of high-revenue service lines.

The code mix signals a service model centered on long‑term residential and intensive community behavioral health for youth and families. High-revenue per-diem residential codes such as T2048 (long-term care residential, with room and board) and T2016 (habilitation, residential, waiver; per diem) alongside heavy volumes of community psychiatric supportive treatment (H0037) and face-to-face psychiatric treatment in 15-minute units (H0036) indicate a vertically integrated continuum that includes residential treatment, habilitation waivers, and intensive community supports.

Claim volumes demonstrate operational scale in community and residential programs: H0037 shows 389.8K claims and H0036 shows 138.1K claims, reflecting large, ongoing outpatient/per‑diem service delivery; T2048’s 11.8K claims at a high average paid/claim ($15498) point to a smaller number of high-cost residential stays that drive substantial revenue. These volumes imply both broad throughput in community programs and intensive resource utilization in residential placements.

The provider is a dominant in-state player on several flagship codes: T2048 ranks #1 of 13 providers in-state (100th percentile; notably above typical state volume for this code) and H0036 ranks #1 of 13 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). H0037 ranks #2 of 16 providers in-state (93th percentile), consistent with a major market position for both residential and community psychiatric supportive services.

The dataset shows this organization is the sole or one of very few in-state providers for several specialized service lines, which may reflect unique program offerings or contractual arrangements: H0040 is 1 of 1 providers in-state (no peer volume comparison available), T1025 is 1 of 1 providers in-state (no peer volume comparison available), and H2021 is 1 of 1 providers in-state (no peer volume comparison available). Presence as the only in-state reporter for these codes suggests they operate specialized intensive programs such as assertive community treatment and high-complexity multidisciplinary services.

Business risk is concentrated in a handful of high-revenue, high-cost per-diem codes and a few high-volume community-treatment codes; changes to per-diem rates, waiver funding, or managed-care contracts for T2048, H0037, or H0036 would likely have outsized effects on revenue given the 61.2% concentration in the top three codes. Diversification exists across related behavioral health services (case management T2023, wrap-around H2022, multisystemic therapy H2033), but revenue remains heavily skewed to residential and intensive community treatments.

The provider has a longstanding enrollment on file (NPI enumerated 2006-07-01, ~20 years ago), indicating an established operational presence in the Tennessee behavioral health landscape; coupled with top-state rankings and unusually large claim volumes, this tenure supports the interpretation of a stable, mature operator in Medicaid behavioral health services.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	11,820	$15,500	$183.2M
H0037	Community psychiatric supportive treatment program, per diem	389,780	$310	$118.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	138,080	$540	$74.7M
T2016	Habilitation, residential, waiver; per diem	5,040	$12,570	$63.3M
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	14,310	$3,470	$49.7M
H2020	Therapeutic behavioral services, per diem	16,510	$1,950	$32.2M
H2033	Multisystemic therapy for juveniles, per 15 minutes	53,730	$450	$24.3M
H2022	Community-based wrap-around services, per diem	17,370	$1,070	$18.5M
T2023	Targeted case management; per month	15,970	$960	$15.3M
H0032	Mental health service plan development by non-physician	20,640	$450	$9.2M

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Youth Villages, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	7	10	11,790	$410	$75.3M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	1	10	770	$9,920	$22M
H0037	Community psychiatric supportive treatment program, per diem	2	20	20,260	$150	$19.4M
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	3	20	1,590	$1,740	$16.5M
H2033	Multisystemic therapy for juveniles, per 15 minutes	2	10	57,870	$280	$16.2M
T2016	Habilitation, residential, waiver; per diem	16	50	2,620	$430	$11.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	10	2,040	$430	$7.7M
H0040	Assertive community treatment program, per diem	1	10	3,130	$2,230	$7M
H2022	Community-based wrap-around services, per diem	1	10	6,900	$840	$6.8M
H2020	Therapeutic behavioral services, per diem	3	40	880	$1,910	$5.9M

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Villages, Inc.	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.4M
Fred Thomason	TN	Psychiatry Physician	$0	$25.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital - Bartlett, Inc.	TN	General Acute Care Hospital	$0	$9.8M
St. John's Community Services	TN	Point of Service	$0	$6.7M
Truelove's In-home Health Care	TN	In Home Supportive Care Agency	$0	$5.2M
Nakita Cannady	TN	Home Health Aide	$0	$4.6M
Acro Pharmaceutical Services LLC	TN	Specialty Pharmacy	$0	$4.4M
Lincare Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$4.1M
Acadian Ambulance Service Of Tennessee, LLC	TN	Land Ambulance	$1.8M	$2.3M
West Tennessee Family Solutions, Inc	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3M
Chc901 LLC	TN	Ambulance	$860.6K	$1.6M
Memphis Obstetrics And Gynecological Association PC	TN	Obstetrics & Gynecology Physician	$0	$2.1M

Youth Villages, Inc. — Billing Profile & Reimbursement Data

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Youth Villages, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References