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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Advocate Programs, Inc. (NPI 1679627863)

Field	Value
Entity Type	Organization
Organization	Youth Advocate Programs, Inc.
Address	3899 North Front St.
City	Harrisburg
State	PA
ZIP	17110
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$101M
Medicare	$0

Key Findings

YOUTH ADVOCATE PROGRAMS, INC. bills almost exclusively to Medicaid, with lifetime Medicaid revenue of $101M and no Medicare billing on file. This makes the organization effectively a single-payer Medicaid provider, so its financial exposure and negotiating leverage will be driven almost entirely by state Medicaid policy and reimbursement for behavioral health service lines.

Revenue is highly concentrated in a few service lines: the precomputed top three Medicaid codes account for 59.5% of the provider's total Medicaid revenue. In particular, H2021 contributes $26.8M (26.8% of Medicaid revenue), H0032 contributes $19.6M (19.6%), and H2014 contributes $13.1M (13.1%), so these three codes together are the dominant revenue drivers.

The code mix (H2021 – community-based wrap-around services, H0032 – mental health service plan development by non-physician, and H2014 – skills training and development) indicates an operational focus on intensive community-based behavioral health supports, care planning, and skills-building delivered in short, billable 15-minute units. The presence of high-volume psychotherapy codes (90834, 90837) and counseling codes (H0004) shows the organization also provides substantial direct therapy in addition to care coordination and wrap-around services.

Competitive standing in Pennsylvania is concentrated and strong for several codes: the provider ranks #1 in-state for H0032 and H2014 and is described as an "extreme outlier" for both codes, indicating volumes far above typical state providers. H2021 is also labeled an "extreme outlier," ranking #3 of 218 providers and sitting in the 99th percentile, which together signal regional dominance in wrap-around and plan-development services.

Psychotherapy and counseling volume is meaningful and above typical state levels for several CPT codes: 90834 (61.7K claims, $5.6M, ranks #37 of 692, 95th percentile) is notably above typical state volume, while 90837 (25.6K claims, $1.9M, ranks #21 of 555, 96th percentile) and H0004 (29.6K claims, $5.2M, ranks #14 of 1405, 99th percentile) further demonstrate substantial direct treatment capacity alongside community-based services. These therapy volumes suggest the provider delivers both face-to-face clinical care and broader community supports.

Certain case management and support codes are present but are not the primary differentiators: T1017 (51.2K claims, $4.9M, 4.9% of Medicaid revenue) ranks #36 of 205 in-state (83th percentile) and is labeled "typical, unremarkable volume for this code." This indicates case management is part of the service mix but not the main source of the provider's outsized statewide footprint.

The organization has an established presence, with its NPI enumerated on 2007-01-23 (~19 years ago), and its $101M Medicaid lifetime revenue reflects sustained scale in Pennsylvania behavioral health markets. The combination of long tenure and concentrated high-volume codes suggests institutional expertise in delivering community-based wrap-around and plan-development services.

From an operational and payer-risk perspective, the high concentration of Medicaid revenue in a few codes (59.5% concentrated in the top three codes) creates sensitivity to rate changes or policy shifts affecting H2021, H0032, and H2014. For payers and network planners, this profile signals a specialized partner that could be critical for capacity in intensive community-based behavioral health but whose financials are heavily dependent on a narrow set of reimbursable services.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	177,390	$150	$26.8M
H0032	Mental health service plan development by non-physician	110,950	$180	$19.6M
H2014	Skills training and development, per 15 minutes	91,580	$140	$13.1M
H2015	Comprehensive community support services, per 15 minutes	38,150	$180	$6.7M
H2019	Therapeutic behavioral services, per 15 minutes	75,630	$90	$6.7M
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…	61,670	$90	$5.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	29,650	$170	$5.2M
T1017	Targeted case management, each 15 minutes	51,170	$100	$4.9M
H2032	Activity therapy, per 15 minutes	39,290	$70	$2.6M
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…	25,580	$80	$1.9M

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Youth Advocate Programs, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	2	10	223,850	$30	$6.4M
W7060	N/A	13	10	3,270	$200	$3.7M
T1017	Targeted case management, each 15 minutes	36	210	18,200	$100	$2.9M
H2032	Activity therapy, per 15 minutes	1	10	22,540	$70	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	81	100	9,680	$110	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	3	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	1	210	3,020	$130	$1.3M
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…	37	690	2,240	$80	$1M
H2014	Skills training and development, per 15 minutes	1	20	370	$140	$1M
T1016	Case management, each 15 minutes	49	160	2,180	$80	$965.8K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Youth Advocate Programs, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peter Moenga	TX	Psychiatric/Mental Health Nurse Practitioner	$28.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Service Systems, Inc.	PA	Intellectual & Developmental Disabilities Psychologist	$0	$85.6M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$31.5M
Maxim Healthcare Services Inc	PA	Home Health Agency	$0	$20.9M
Tri Valley Care, Inc	PA	Case Management Agency	$0	$19.4M
Center For Behavioral Health Ha, LLC	PA	Methadone Clinic	$169.3K	$14.3M
Global Healthcare Group, LLC	PA	Home Health Agency	$0	$11.9M
Adrian Harewood	PA	General Practice Physician	$967.8K	$3.3K
Capital Surgery And Laser Center, LLC	PA	Ambulatory Surgical Clinic/Center	$785.8K	$0
Elena Farrell	PA	Ophthalmology Physician	$277.2K	$0
Maciej Charczuk	PA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$44.8K	$226.3K

Youth Advocate Programs, Inc. — Billing Profile & Reimbursement Data

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Youth Advocate Programs, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References