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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

South Carolina Youth Advocate Program (NPI 1790789501)

Field	Value
Entity Type	Organization
Organization	South Carolina Youth Advocate Program
Address	140 Stoneridge Dr
City	Columbia
State	SC
ZIP	29210
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 9, 2005

Payer Source	Total Paid
Medicaid	$64M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only operator: there is no Medicare billing on file while lifetime Medicaid revenue totals $64M. The absence of Medicare activity indicates the provider’s patient and payer mix is concentrated in state Medicaid programs rather than dual Medicare/Medicaid populations.

Revenue is highly concentrated in a few service lines: the top three Medicaid codes (H2017, S5145, 90837) account for 71.7% of the provider’s total Medicaid revenue. Those three codes individually contribute 28.4% (H2017), 27.7% (S5145), and 15.6% (90837) of the $64M Medicaid revenue, signaling dependence on a narrow set of high-volume behavioral health and foster-care services.

The code profile points to a youth-focused behavioral health and child welfare operation: H2017 (psychosocial rehabilitation services) and S5145 (foster care, therapeutic, child per diem) are the two largest revenue drivers, complemented by high-volume long-session psychotherapy under 90837. Additional codes receiving meaningful volume—H2014 (skills training and development), S9482 (family stabilization services), and multiple psychotherapy and evaluation codes—support a model centered on intensive community-based, therapeutic, and family-stabilization services.

This provider is a dominant statewide player for multiple flagship codes. It ranks #1 of 51 providers in-state for H2017 (100th percentile; extreme outlier), #1 of 8 providers for S5145 (100th percentile; notably above typical state volume), and #1 of 647 providers for 90837 (100th percentile; extreme outlier), indicating outsized market share in both psychosocial rehabilitation and foster-care therapeutic services.

Operational scale is large by claim volume: billed counts for the top codes include 330.7K claims for H2017, 361.8K claims for S5145, and 86.7K claims for 90837, with average paid/claim values of $55, $49, and $115 respectively. These claim-count figures underscore a high-throughput service delivery model that combines frequent short-unit services (H2017, S5145) with substantial amounts of billed psychotherapy time.

Clinical and care-planning activity extends beyond the top three codes: high rankings and volumes for 90791 (13.9K claims, $2M revenue, #1 of 316 providers; extreme outlier) and H0032 (24.3K claims, $729.3K revenue, #1 of 85 providers; extreme outlier) indicate the provider performs large numbers of psychiatric evaluations and non-physician service-plan development, supporting both intake/diagnosis and ongoing care coordination.

Concentration creates both leverage and exposure in payer negotiations: with 71.7% of Medicaid revenue tied to H2017, S5145, and 90837, the provider has clear negotiating relevance for these pediatric/behavioral health line items but also heightened vulnerability to rate or policy changes that affect those codes. Payers and network planners should treat this entity as a critical capacity holder for foster-care and psychosocial rehabilitation services in South Carolina.

The provider has an established presence in the market, with an NPI enumeration date of 2005-06-09 (~21 years ago). Coupled with $64M in lifetime Medicaid revenue and the high statewide ranks across multiple codes, this tenure and scale point to a long-standing, large Medicaid-focused behavioral health organization in Columbia, SC.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	330,700	$60	$18.2M
S5145	Foster care, therapeutic, child; per diem	361,780	$50	$17.7M
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…	86,670	$120	$10M
H2014	Skills training and development, per 15 minutes	55,740	$110	$6.4M
S9482	Family stabilization services, per 15 minutes	62,360	$50	$3.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13,890	$140	$2M
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…	16,490	$110	$1.7M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	11,760	$100	$1.2M
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…	8,470	$100	$838K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,930	$430	$829.7K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

South Carolina Youth Advocate Program — 9 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	1	10	62,970	$60	$5.6M
H2014	Skills training and development, per 15 minutes	2	10	2,400	$120	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	22	80	180	$150	$1.2M
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…	24	210	320	$130	$707.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20	90	260	$430	$688.8K
S9482	Family stabilization services, per 15 minutes	1	20	1,180	$60	$538.2K
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…	1	650	800	$120	$413.8K
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…	24	160	270	$70	$268.1K
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…	4	240	260	$160	$257.9K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$45.6M
Pal-med, LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$26.2M
Bright Start, LLC	SC	Speech-Language Pathologist	$0	$20.8M
Kids First Dental, LLC	SC	Dentist	$0	$20.6M
Hospice Care Of South Carolina, Lowcountry, LLC	SC	Community Based Hospice Care Agency	$0	$19.9M
Crescent Hospice, Inc.	SC	Community Based Hospice Care Agency	$0	$17.3M
Coram Healthcare/carolina Home Therapeutics	SC	Home Infusion Therapy Pharmacy	$0	$13.9M
Caring Healthcare, Inc.	SC	Nursing Care Agency	$0	$13.3M
Richland/lexington Disabilities And Special Needs Board	SC	Case Management Agency	$0	$11.3M
Compassionate Care Hospice Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$9.6M

South Carolina Youth Advocate Program — Billing Profile & Reimbursement Data

Sign up for South Carolina Youth Advocate Program — Billing Profile & Reimbursement Data policy alerts

South Carolina Youth Advocate Program — Billing Profile & Reimbursement Data

Sign up for South Carolina Youth Advocate Program — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References