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

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

Resilient Youth & Community (ryc) (NPI 1306909197)

Field	Value
Entity Type	Organization
Organization	Resilient Youth & Community (ryc)
Address	2524 First Ave
City	Ketchikan
State	AK
ZIP	99901
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$25M
Medicare	$0

Key Findings

RESILIENT YOUTH & COMMUNITY is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while reported Medicaid revenue totals $25M. The absence of Medicare activity combined with sizable Medicaid receipts indicates its patient and service mix is focused almost entirely on state Medicaid populations rather than Medicare beneficiaries.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 57.3% of the provider’s Medicaid revenue. Those top three are H0018 ($6.2M, 24.7%), H2019 ($4.2M, 16.8%), and 90853 ($4M, 15.8%), showing the business is materially dependent on a handful of high‑volume behavioral health billing lines.

The mix of dominant codes points to a facility and program mix that includes short‑term residential care plus intensive therapeutic and group modalities. H0018 (short‑term residential) with 28.8K claims and H2019 (therapeutic behavioral services) with 22.4K claims suggest capacity for non‑hospital residential treatment and high volumes of time‑based therapeutic interventions, while 90853 (60.8K claims) signals very large group psychotherapy throughput.

90853 and 90833 are statistical outliers in the state: 90853 ranks #1 of 59 providers in‑state (100th percentile) and is labeled an "extreme outlier, far above typical state volume," and 90833 likewise ranks #1 of 42 (100th percentile) and is also an "extreme outlier." These two high‑volume psychotherapy items mark the provider as unusually large in delivering group and add‑on psychotherapy services compared with peers across Alaska.

Several other codes show differential competitive positioning: 99214 produces $2.8M (11.2%) and ranks #14 of 440 providers in‑state (97th percentile), characterized as "notably above typical" state volume, and 90785 ($367.2K, 1.5%) ranks #1 of 12 (100th percentile) and is likewise "notably above typical." In contrast, H0018 (rank #5 of 11, 60th percentile), H2019 (rank #6 of 38, 86th percentile), and T2033 (rank #4 of 8, 57th percentile) are described as typical, unremarkable volumes within their smaller in‑state peer sets.

The product mix indicates both facility‑based per‑diem care and high‑frequency outpatient encounters: T2033 (residential care, $3.6M, 14.4%) and H0018 (short‑term residential, $6.2M, 24.7%) point to per‑diem/bed‑based revenue while the large counts for 90853, 90833, and 99214 imply heavy throughput of therapy sessions and evaluation & management visits. This combination is consistent with a mental health clinic that operates residential programs alongside substantial outpatient psychotherapy capacity.

Operationally, telehealth and some ancillary services are present but small relative to core lines: Q3014 telehealth originating site fees account for $19K (0.1% of Medicaid revenue), and T1016 case management contributes $346.3K (1.4%). These smaller streams suggest limited reliance on telehealth and modest ancillary case‑management billing compared with the dominant residential and psychotherapy revenues.

The provider has an established tenure in the registry, with an NPI enumeration date of 2006‑12‑19 (~20 years ago), indicating long‑standing presence in the market. That tenure, combined with extreme statewide outlier status on multiple psychotherapy codes, suggests institutional scale in behavioral health delivery within Alaska despite an otherwise Medicaid‑centric payer mix.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	28,780	$220	$6.2M
H2019	Therapeutic behavioral services, per 15 minutes	22,440	$190	$4.2M
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…	60,830	$70	$4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	8,290	$430	$3.6M
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…	15,380	$180	$2.8M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	15,560	$110	$1.7M
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…	5,610	$120	$661.9K
S9485	Crisis intervention mental health services, per diem	620	$880	$542.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	15,970	$20	$367.2K
T1016	Case management, each 15 minutes	5,870	$60	$346.3K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Resilient Youth & Community (ryc) — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	10	23,880	$260	$8.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4	10	7,460	$490	$3.4M
H2019	Therapeutic behavioral services, per 15 minutes	6	40	3,660	$250	$3.1M
H0033	Oral medication administration, direct observation	19	20	3,510	$60	$2.1M
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…	24	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	19	90	1,620	$150	$606.4K
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…	14	440	580	$170	$458.7K
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…	1	60	1,070	$80	$392.9K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	25	30	730	$180	$377K
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…	26	90	370	$180	$361K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Resilient Youth & Community (ryc), ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Community Connections, Inc.	AK	Developmentally Disabled Services Day Training Agency	$0	$19M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$16.8M
Ketchikan Indian Corporation	AK	Primary Care Clinic/Center	$0	$15.3M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$11.8M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.5M
Akeela Inc	AK	Community/Behavioral Health Agency	$0	$5.5M
Peacehealth	AK	Diagnostic Radiology Physician	$0	$2.9M
Nes Washington, Inc.	AK	Emergency Medicine Physician	$0	$2.1M
Linsenmayer Dentistry, LLC	AK	Pediatric Dentistry	$0	$2M

Resilient Youth & Community (ryc) — Billing Profile & Reimbursement Data

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Resilient Youth & Community (ryc) — 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

Nearby Providers

Frequently Asked Questions

References