Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidYouth Consultation Service, Inc
    Ask Trek AI about this page

    Youth Consultation Service, Inc — Billing Profile & Reimbursement Data

    NPI 1477004604 · Newark, NJ · In Home Supportive Care Agency

    Customize your policy alerts

    Sign up for Youth Consultation Service, Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Youth Consultation Service, Inc is a in home supportive care agency provider located in Newark, New Jersey. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationYouth Consultation Service, Inc
    Address284 Broadway
    CityNewark
    StateNJ
    ZIP07104
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedOctober 24, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$83.9M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and reports $83.9M in lifetime Medicaid revenue, making its financial footprint effectively single-payer and heavily dependent on state Medicaid reimbursements. Analysts should treat Medicare-related comparisons as inapplicable when evaluating this entity's billing profile.

    Revenue is entirely concentrated in a single Medicaid procedure code: H2016. The record shows 151.1K claims, $555 avg paid/claim, $83.9M revenue (100.0% of this provider's total Medicaid revenue), indicating that H2016 alone accounts for the provider's full Medicaid intake.

    The taxonomy (In Home Supportive Care Agency) combined with H2016 (Comprehensive community support services, per diem) indicates the organization operates as a community-based, per-diem support provider delivering ongoing in-home or community support rather than episodic clinical procedures. This code mix suggests service lines centered on daily/recurring supportive care and case management-type activities.

    The utilization profile—151.1K claims with an average paid per claim of $555—reflects a high-frequency, per-diem billing model consistent with sustained service delivery to enrolled beneficiaries. This pattern implies predictable, recurring revenue tied to continual service episodes rather than one-off interventions.

    State-level competitive standing for H2016 is moderate: the provider ranks #42 of 206 in-state (80th percentile; typical, unremarkable volume), which signals a mid-to-upper market presence for this code but not a dominant position among New Jersey peers. The supplied characterization as "typical, unremarkable volume" indicates the provider performs within expected peer ranges rather than as a statistical outlier.

    The extreme concentration of Medicaid revenue (top 3 codes = 100.0%, with H2016 constituting 100.0% itself) denotes limited service breadth and low revenue diversification. That concentration creates operational exposure to rate, coverage, or policy changes affecting H2016, but it also simplifies monitoring and forecasting because financial performance hinges on a single, well-defined service line.

    The provider's NPI was enumerated on 2016-10-24 (~10 years ago), indicating roughly a decade of enrollment and operational history in Medicaid billing. This tenure is consistent with the scale of claims observed and suggests an established presence in the in-home supportive care market within the state.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem151,110$560$83.9M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem4221023,310$490$41.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    2nd Home Newark Operations LLCNJAdult Day Care Clinic/Center$0$22.3M
    Project Live, Inc.NJMental Illness Community Based Residential Treatment Facility$0$19.1M
    Newark Community Health Centers, Inc.NJFederally Qualified Health Center (FQHC)$0$17.2M
    The North Ward Center, Inc,NJAdult Day Care Clinic/Center$0$12.2M
    Jore VenturesNJMental Health Clinic/Center (Including Community Mental Health Center)$0$10.5M
    Javier PonceNJPodiatrist$57.5K$1.4M
    David SuarezNJGeneral Practice Physician$364.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Youth Consultation Service, Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey