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

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

Guidance To Success Youth Club (NPI 1417397084)

Field	Value
Entity Type	Organization
Organization	Guidance To Success Youth Club
Address	6500 Holdrege St
City	Lincoln
State	NE
ZIP	68505
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 27, 2013

Payer Source	Total Paid
Medicaid	$248.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,850	$30	$131.1K
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…	890	$80	$71.9K
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…	520	$90	$45.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Guidance To Success Youth Club — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	187	510	450	$100	$168.1K
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…	22	110	140	$100	$38.3K
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…	3	50	260	$30	$30.5K

Nearby Providers

Other providers in the same ZIP code as Guidance To Success Youth Club, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Complete Children's Health, P.C.	NE	Pediatrics Physician	$0	$5.8M
Houses Of Hope Of Nebraska, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Allergy, Asthma & Immunology Associates, P.C.	NE	Allergy & Immunology Physician	$0	$1.7M
Rusty Lewis	NE	General Practice Dentistry	$0	$1.3M
Thomas Milius	NE	Pediatric Dentistry	$0	$1.2M
Osie Inc.	NE	Long Term Care Pharmacy	$125.7K	$1.1M
Multicultural Youth And Family Counseling,llc	NE	Mental Health Counselor	$0	$847.5K
Nebraska Peace Of Mind Behavioral Health	NE	Psychiatric/Mental Health Nurse Practitioner	$0	$652.2K
Suzan Pae	NE	Allergy & Immunology Physician	$516K	$0
Associates In Counseling & Treatment	NE	Addiction (Substance Use Disorder) Counselor	$0	$486.9K

Guidance To Success Youth Club — Billing Profile & Reimbursement Data

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Guidance To Success Youth Club — Billing Profile & Reimbursement Data

Sign up for Guidance To Success Youth Club — 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