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

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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 Emergency Services, Inc. (NPI 1336393834)

Field	Value
Entity Type	Organization
Organization	Youth Emergency Services, Inc.
Address	700 Longmont St
City	Gillette
State	WY
ZIP	82716
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	November 11, 2008

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Key Findings

YOUTH EMERGENCY SERVICES, INC. reports no Medicare billing on file and $2.4M in lifetime Medicaid revenue, indicating the organization operates effectively as a Medicaid-focused provider rather than a dual-payer outpatient clinic. The absence of Medicare activity suggests its services and patient population are concentrated in pediatrics/child behavioral health, consistent with its Emotionally Disturbed Childrens' Residential Treatment Facility taxonomy.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes account for 96.2% of the provider's total Medicaid revenue, signaling dependence on a narrow set of services for nearly all billing. This concentration implies that changes in reimbursement or utilization for those codes would have outsized effects on the provider's finances.

H2019 (Therapeutic behavioral services, per 15 minutes) is the dominant revenue driver with $1.7M (72.0% of Medicaid revenue) and 24.1K claims. The provider ranks #3 of 171 in-state and is described as an extreme outlier (99th percentile), which positions the organization as an unusually high-volume delivery site for minute-based therapeutic behavioral services relative to peers. This mix is consistent with intensive, hands-on therapeutic programming typical for residential treatment of emotionally disturbed children.

H0046 (Mental health services, not otherwise specified) contributes $299.3K (12.4% of Medicaid revenue) across 11.1K claims and the provider ranks #1 of 14 in-state, also labeled an extreme outlier. This ranking reinforces that the facility delivers a very high volume of general mental health services in the Medicaid market, likely reflecting ongoing outpatient-style encounters or bundled service reporting within its residential program.

G9012 (Other specified case management service not elsewhere classified) accounts for $284.9K (11.8% of Medicaid revenue) with 4.5K claims and a #4 of 44 in-state rank at the 93rd percentile, characterized as typical/unremarkable volume. The presence of substantial case management billing alongside therapeutic services suggests the provider integrates care coordination and case management into its treatment model, supporting intensive service plans for high-need pediatric behavioral health patients.

Smaller but notable contributors include H0004 (behavioral health counseling and therapy) and 99215 (high-complexity E/M visits), which together represent a small share of revenue (3.2% and 0.7%, respectively) and occupy middle-to-upper state percentiles. These codes indicate the provider also bills formal psychotherapy and high-complexity medical evaluation services, likely reflecting multidisciplinary care components within the residential setting rather than standalone office-based practices.

The provider has been NPI enumerated since 2008-11-11 (~18 years ago), indicating long tenure in the market. This sustained presence, combined with outsized statewide rankings for H2019 and H0046, suggests entrenched relationships with Medicaid payers and referral sources for child behavioral health services in Wyoming.

From a competitive standpoint, YOUTH EMERGENCY SERVICES, INC. is a major statewide player for specific Medicaid behavioral health services: it is an extreme high-volume outlier for both H2019 and H0046 (99th and 100th percentiles respectively), and ranks within the top four for G9012. While its footprint is narrowly concentrated by code, within those service lines it is clearly above typical peers and occupies a dominant role in the state market for intensive behavioral and case management services for children.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	24,110	$70	$1.7M
H0046	Mental health services, not otherwise specified	11,090	$30	$299.3K
G9012	Other specified case management service not elsewhere classified	4,520	$60	$284.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	810	$90	$76.1K
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…	120	$130	$15.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Youth Emergency Services, Inc. — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	3	170	840	$80	$192.2K
G9012	Other specified case management service not elsewhere classified	4	40	460	$50	$97.8K
H0046	Mental health services, not otherwise specified	1	10	930	$30	$42K
H0004	Behavioral health counseling and therapy, per 15 minutes	6	30	130	$100	$41.3K
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…	11	40	80	$90	$15.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis Home Health LLC	WY	Home Health Agency	$0	$3.5M
Campbell County Hospital District	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.3M
Campbell County Hospital District	WY	General Acute Care Hospital	$0	$1.9M
Big Horn Pediatrics	WY	Pediatrics Physician	$0	$1.5M
Campbell County Hospital District	WY	Urgent Care Clinic/Center	$0	$1.1M
Ladeana Brown	WY	Case Management Agency	$0	$1M
Campbell County Hospital District	WY	Pediatrics Physician	$0	$998.4K
Campbell County Hospital District	WY	Emergency Medicine Physician	$0	$964.2K
Powder River Surgery Center	WY	Ambulatory Surgical Clinic/Center	$830K	$0
Valorie Hofmeister	WY	Case Manager/Care Coordinator	$0	$628.4K

Youth Emergency Services, Inc. — Billing Profile & Reimbursement Data

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Youth Emergency Services, 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

Nearby Providers

Frequently Asked Questions

References