Yale Academy LLC

Yale Academy LLC was paid $3.82M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 98% of everything it billed.

33Billing provider infoYALE ACADEMY LLC
FAIRMONT, WV 26554

33aNPI1649664855assigned 03/25/2015

33bProvider typeEmotionally Disturbed Childrens' Residential Treatment Facility

28Total paid$3.82M

24GClaims80,083

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emotionally Disturbed Childrens' Residential Treatment Facility providers in West Virginia

Rank by total paid#7 of 28

Median peer was paid$1.46M

This provider vs. median2.6×

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.

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	19,108	$806K
2019	23,029	$627K
2020	14,748	$518K
2021	8,384	$499K
2022	7,759	$415K
2023	6,711	$466K
2024incomplete	344	$484K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	98%	45,675	2,083	$3.75M
H0032	Mental health service plan development by non-physician	1.3%	1,155	745	$48K
A0160	Non-emergency transportation: per mile - case worker or social worker	<1%	323	225	$16K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	31,544	776	$509.15
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	1,386	673	$25.61

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 officialMYERS, CHRISTINE (DIRECTOR OF FINANCE)