YOUTH ACADEMY, LLC
NPI: 1750508040
· FAIRMONT, WV 26554
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 04/19/2007
$3.81M
Total Medicaid Paid
Provider Details
| Authorized Official | FAIRLEY, STEVEN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/19/2007 |
Related Entities
Other providers sharing the same authorized official: FAIRLEY, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,664 |
$739K |
| 2019 |
21,004 |
$593K |
| 2020 |
13,433 |
$481K |
| 2021 |
7,501 |
$457K |
| 2022 |
7,547 |
$456K |
| 2023 |
6,830 |
$585K |
| 2024 |
339 |
$499K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
42,621 |
1,964 |
$3.75M |
| H0032 |
Mental health service plan development by non-physician |
1,048 |
708 |
$47K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
352 |
187 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$950.82 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
28,233 |
686 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
1,038 |
555 |
$0.00 |