Youth Consultation Service, INC

Youth Consultation Service, INC was paid $83.94M by Medicaid between Apr 2018 and Dec 2024, across 1 billing code. Its largest line is H2016, community support for mental illness or disability, billed per day — 100% of everything it billed.

33Billing provider infoYOUTH CONSULTATION SERVICE, INC
NEWARK, NJ 07104

33aNPI1477004604assigned 10/24/2016

33bProvider typeIn Home Supportive Care Agency

28Total paid$83.94M

24GClaims151,112

24DCodes billed1

24AFirst – last monthApr 2018 – Dec 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in New Jersey

Rank by total paid#3 of 65

Median peer was paid$2.96M

This provider vs. median28×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H2016 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
2018	10,098	$4.54M
2019	21,286	$9.59M
2020	22,622	$11.16M
2021	24,842	$13.61M
2022	25,687	$14.91M
2023	26,127	$16.39M
2024incomplete	20,450	$13.74M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	100%	151,112	5,293	$83.94M

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 officialDEFALCO, PHILIP (SR VICE PRES/COO)