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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Opportunity Investments, LLC (NPI 1487187704)

Field	Value
Entity Type	Organization
Organization	Youth Opportunity Investments, LLC
Address	696 N Fm 487
City	Rockdale
State	TX
ZIP	76567
Taxonomy	Psychiatric Residential Treatment Facility
NPI Enumerated	April 4, 2017

Payer Source	Total Paid
Medicaid	$88.8M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $88.8M, so all reported federal program revenue is attributable to Medicaid. Analysts should treat Medicare peer comparisons as not applicable for this entity.

Revenue is heavily concentrated in three per‑diem residential codes: H0019 ($38.5M, 43.3% of Medicaid revenue), T2016 ($27.2M, 30.7%), and T2048 ($20.5M, 23.1%). The top 3 Medicaid codes account for 97.1% of the provider’s total Medicaid revenue, indicating limited revenue diversification across other billing lines.

The code mix and descriptions point to a long‑term residential behavioral health operation: H0019 and T2048 are long‑term residential behavioral health per‑diem codes (with and without room and board) and T2016 is habilitation residential waiver per diem. These patterns align with the provider taxonomy (Psychiatric Residential Treatment Facility) and suggest the business model centers on extended residential stays and waiver habilitation services rather than short‑term outpatient care.

For H0019 and T2048 this provider appears to be the only in‑state reporter: each code ranks #1 of 1 providers in-state and the metadata notes "no state peer volume comparison available." That status makes the provider a unique in‑state source of billed volume for those specific long‑term residential codes, but it also means standard percentile‑based competitive context is limited.

By contrast, T2016 (habilitative residential waiver) is a modest participant relative to in‑state peers: it ranks #81 of 109 providers in-state (26th percentile; typical, unremarkable volume for this code). This suggests the provider’s dominance is specific to the long‑term residential behavioral health billing lines rather than across all residential habilitation services.

Crisis intervention services (S9485) are present but small: 583 claims generated $2.6M (2.9% of Medicaid revenue) and the provider ranks #2 of 2 in-state (0th percentile; typical, unremarkable volume for this code). Crisis per‑diem billing is a minor component of overall revenue compared with the long‑term residential codes.

Average paid per claim indicates high per‑diem economics: T2016 average paid/claim is $10369, T2048 is $5853, and H0019 is $4632. These elevated per‑diem payments help explain why relatively modest claim counts (for example, 8.3K H0019 claims and 3.5K T2048 claims) translate into large dollar revenue contributions.

The provider’s NPI was enumerated 2017-04-04 (~9 years ago), indicating nearly a decade of activity under its current enrollment; combined with the concentrated revenue mix, this tenure suggests an established operation focused on long‑term residential Medicaid populations, and its financial exposure is likely sensitive to changes in state Medicaid policy or per‑diem reimbursement for the few dominant codes.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	8,300	$4,630	$38.5M
T2016	Habilitation, residential, waiver; per diem	2,630	$10,370	$27.2M
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	3,510	$5,850	$20.5M
S9485	Crisis intervention mental health services, per diem	580	$4,480	$2.6M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Youth Opportunity Investments, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	1	10	8,300	$4,630	$38.4M
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	3,510	$5,850	$20.5M
T2016	Habilitation, residential, waiver; per diem	81	110	6,810	$200	$8.1M
S9485	Crisis intervention mental health services, per diem	2	10	760	$2,070	$1.6M

Nearby Providers

Other providers in the same ZIP code as Youth Opportunity Investments, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abiding Choice Inc	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.3M

Youth Opportunity Investments, LLC — Billing Profile & Reimbursement Data

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Youth Opportunity Investments, LLC — 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