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

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

National Youth Advocate Program, Inc (NPI 1679721906)

Field	Value
Entity Type	Organization
Organization	National Youth Advocate Program, Inc
Address	800 Market Ave N Ste 1600
City	Canton
State	OH
ZIP	44702
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 28, 2008

Payer Source	Total Paid
Medicaid	$55.4M
Medicare	$0

Key Findings

NATIONAL YOUTH ADVOCATE PROGRAM, INC reports $55.4M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single‑payer (Medicaid) operator in our dataset. Its NPI was enumerated 2008-08-28 (~18 years ago), indicating an established presence in the state Medicaid market.

The provider’s highest‑revenue services are behavioral health and case management lines: H2019 (Therapeutic behavioral services, per 15 minutes), 90837 (long psychotherapy sessions), and T2022 (case management, per month). High claim volumes — 341.6K for H2019, 162.8K for 90837, and 251.5K for T2022 — combined with the code descriptions point to a business model focused on intensive community/behavioral health treatment and ongoing monthly case management for Medicaid beneficiaries.

Revenue is highly concentrated: the top three Medicaid codes account for 84.7% of this provider’s total Medicaid revenue. In dollar terms those top-line contributions are $26.3M (H2019, 47.5%), $15.6M (90837, 28.2%), and $5M (T2022, 9.1%), demonstrating that a small set of service lines drives the bulk of revenues.

On statewide competitive standing the provider is an outlier and a dominant supplier for its top services: H2019 ranks #10 of 840 providers in‑state (99th percentile; extreme outlier), 90837 ranks #7 of 2643 providers (100th percentile; extreme outlier), and T2022 ranks #1 of 36 providers (100th percentile; extreme outlier). These ranks indicate above‑typical scale in therapeutic behavioral services, long psychotherapy sessions, and monthly case management relative to peers.

The payer economics differ across the top codes: average paid per claim is $77 for H2019, $96 for 90837 and $20 for T2022, so volume rather than per‑claim price is the primary revenue driver for the high‑volume case management and therapeutic services. This mix — high volume low‑unit case management alongside high‑volume psychotherapy — is consistent with a large community behavioral health agency delivering frequent contact and monthly coordination services.

Beyond the top three, the provider also bills more typical outpatient E/M and psychotherapy codes at much smaller scale: 99214 generated $2.1M (3.8% of Medicaid revenue) and 90834 generated $943.1K (1.7%). These secondary codes show a broader clinical footprint (office E/M and medium‑length psychotherapy) but they do not materially diversify the provider’s revenue base.

Given the concentration in a few Medicaid service lines, the provider’s revenue is potentially sensitive to policy, reimbursement, or utilization changes affecting H2019, 90837, and T2022; payers reviewing network strategy or rate changes should note that adjustments to these codes would disproportionately affect this provider’s revenue. This observation is based on the precomputed top‑3 share (84.7%) and the provider’s extreme outlier ranks on those codes.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	341,610	$80	$26.3M
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…	162,770	$100	$15.6M
T2022	Case management, per month	251,530	$20	$5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	19,310	$110	$2.1M
T2023	Targeted case management; per month	19,030	$50	$951.5K
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…	14,080	$70	$943.1K
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…	5,460	$150	$801.9K
90832	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…	15,050	$50	$737.6K
H2017	Psychosocial rehabilitation services, per 15 minutes	11,130	$50	$578.6K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	15,590	$40	$561.2K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

National Youth Advocate Program, Inc — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	10	840	240	$90	$1.8M
T2022	Case management, per month	1	40	700	$150	$1.8M
T2023	Targeted case management; per month	2	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	122	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	43	240	1,090	$50	$509.2K
H2015	Comprehensive community support services, per 15 minutes	13	20	320	$160	$507.2K
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…	7	2,640	620	$90	$408.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	256	4,510	500	$60	$377.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,018	5,080	560	$40	$323.9K
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…	14	140	140	$160	$266.4K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commquest Services, Inc.	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$45.3M
Phoenix Rising Behavioral Healthcare And Recovery Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29M
Commquest Services, Inc.	OH	Multi-Specialty Clinic/Center	$0	$18.2M
City Of Canton	OH	Land Ambulance	$318.8K	$4.6M
Justin Lonca	OH	Gerontology Nurse Practitioner	$357.1K	$0
James Franz	OH	Family Medicine Physician	$315.1K	$0
Richard Jones	OH	Internal Medicine Physician	$265.6K	$0
Paul Scheatzle	OH	Physical Medicine & Rehabilitation Physician	$216.8K	$0
Erin Metcalf	OH	Gerontology Nurse Practitioner	$204.3K	$0
Timothy Griffiths	OH	Nurse Practitioner	$183.4K	$0

National Youth Advocate Program, Inc — Billing Profile & Reimbursement Data

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National Youth Advocate Program, 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