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

Why is the Medicaid comparison limited to Montana 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. Montana (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 Dynamics, Inc. (NPI 1801918966)

Field	Value
Entity Type	Organization
Organization	Youth Dynamics, Inc.
Address	2334 Lewis Ave
City	Billings
State	MT
ZIP	59102
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicaid	$65.4M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while Medicaid lifetime revenue is $65.4M, indicating the organization’s operations and revenue are driven almost entirely by Medicaid programs. The absence of Medicare activity means analyses should focus on state Medicaid policy and contracting rather than federal Medicare dynamics for competitive or utilization comparisons.

The coding mix and taxonomy (Mental Illness Community Based Residential Treatment Facility) point to a youth-focused residential and support model: S5145 (Foster care, therapeutic, child; per diem), T1016 (Case management, each 15 minutes), and H2020 (Therapeutic behavioral services, per diem) together describe per-diem foster care placements supplemented by intensive case management and therapeutic behavioral supports. This suggests the provider operates high-volume residential foster-care programs with embedded case management and on-site therapeutic services rather than outpatient psychotherapy or typical medical services.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with S5145 representing 52.9% of Medicaid revenue, T1016 representing 36.9%, and H2020 representing 10.1%. Such concentration indicates that a small set of service lines (foster-care per diems, case management, and therapeutic behavioral per diems) drive virtually all billed revenue.

The provider is a dominant statewide participant for its primary services: S5145 is ranked #1 of 8 providers in-state (100th percentile; notably above typical state volume), T1016 is ranked #1 of 53 providers in-state (100th percentile; extreme outlier, far above typical state volume), and H2020 is ranked #1 of 12 providers in-state (100th percentile; notably above typical state volume). These rankings indicate market-leading scale in foster-care therapeutic per diems, case management, and therapeutic behavioral per-diem services within Montana.

Claim volumes and average unit payments corroborate operational scale: S5145 shows 240.3K claims at $144 avg paid/claim generating $34.6M revenue, T1016 shows 536.5K claims at $45 avg paid/claim generating $24.1M revenue, and H2020 shows 88K claims at $75 avg paid/claim generating $6.6M revenue. The very large claim counts—especially 536.5K claims for T1016—support a high-throughput case management operation and substantial recurring per-diem billing.

Smaller billed codes are financially immaterial to the provider’s Medicaid revenue: H2019 appears with 284 claims and $25.6K revenue (rank #32 of 36; 11th percentile) and 90785 appears with 84 claims and $0 revenue (rank #62 of 75; 18th percentile). These entries are typical, unremarkable volumes and do not change the overall picture of revenue concentration in the top three codes.

The provider has been enumerated since 2007-04-06 (~19 years ago), indicating a long-established presence in the state’s behavioral health and foster-care ecosystem. Long tenure combined with dominant code-level rankings suggests entrenched operational capacity in Medicaid-funded foster-care and case management services, but also a business model highly dependent on state Medicaid reimbursement and policy for these specific service lines.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	240,330	$140	$34.6M
T1016	Case management, each 15 minutes	536,480	$50	$24.1M
H2020	Therapeutic behavioral services, per diem	88,010	$80	$6.6M
H2019	Therapeutic behavioral services, per 15 minutes	280	$90	$25.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	80	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Youth Dynamics, Inc. — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	1	10	10,460	$230	$12.3M
H2020	Therapeutic behavioral services, per diem	1	10	1,970	$120	$1.7M
T1016	Case management, each 15 minutes	1	50	2,720	$50	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	32	40	3,280	$50	$759.9K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	62	80	290	$10	$6.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Day, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$27.7M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Rimrock Pediatric Dentistry	MT	Pediatric Dentistry	$0	$15.2M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Ryan K. Larsen Dmd & Associates	MT	Dental Anesthesiology	$0	$8.3M
Brewer Dental Center PLLC	MT	General Practice Dentistry	$0	$8.3M

Youth Dynamics, Inc. — Billing Profile & Reimbursement Data

Sign up for Youth Dynamics, Inc. — Billing Profile & Reimbursement Data policy alerts

Youth Dynamics, Inc. — Billing Profile & Reimbursement Data

Sign up for Youth Dynamics, Inc. — 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