Residential
Excalibur Youth Services, LLC.
Excalibur Youth Services, LLC. was paid $4.62M by Medicaid between Apr 2022 and Oct 2023, across 1 billing code. Its largest line is T2016, a day of residential support for a person with a developmental disability — 100% of everything it billed.
33Billing provider infoEXCALIBUR YOUTH SERVICES, LLC.
SIMPSONVILLE, SC 29681
SIMPSONVILLE, SC 29681
33aNPI1083852511assigned 01/21/2009
33bProvider typePsychiatric Residential Treatment Facility
28Total paid$4.62M
24GClaims8,565
24DCodes billed1
24AFirst – last monthApr 2022 – Oct 2023
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T2016 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 7,914 | $2.96M | |
| 2023 | 651 | $1.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 100% | 8,565 | 289 | $4.62M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWILLIAMS, ISABELLE (MANAGER, REVENUE CYCLE)