ERROL ARCHIBALD YOUNG, M.A. OTR/L
NPI 1043376197, individual, Warwick, NY, Specialist
- Medicaid dollars per patient on code 97140 ($154 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ERROL ARCHIBALD YOUNG, M.A. OTR/L |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 30, 2006, last updated November 19, 2010 |
| Practice location | 246 BRADY RD, Warwick, NY 10990-3903, 917-213-8455 |
| Mailing address | PO BOX 310718, Jamaica, NY 11431-0718 |
| Specialties | Specialist (174400000X, primary, license 005332-1 NY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97535 | Training for self-care or home management, each 15 minutes | $757K | 60% | $358 | $48 (top 5% from $459) | 91st percentile | |
| 97530 | Therapy procedure using functional activities | $420K | 33% | $344 | $124 (top 5% from $387) | 92nd percentile | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $89K | 7% | $154 | $47 (top 5% from $120) | 98th percentile | |
| 97150 | Therapy procedure in a group setting | $2K | 0% | $46 | $26 (top 5% from $149) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 97535 | Training for self-care or home management, each 15 minutes | 2,420 | 56 | $62K | $42 | $32 | 1.3x | 2.6x (90th percentile 4.5x) |
| 97530 | Therapy procedure using functional activities | 1,476 | 35 | $41K | $42 | $35 | 1.2x | 2.3x (90th percentile 3.5x) |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 942 | 34 | $18K | $41 | $24 | 1.7x | 3.2x (90th percentile 5.0x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
14 providers in Orange County, NY carry an indicator in the public record, with $12.8M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by paid after a public list action on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PAUL FELDMAN Newburgh, NY, ranked 23 | $25K |
|
| 4 | TANISHA CASTELLANOS Goshen, NY, ranked 7303 | $2.5M |
|
| 4 | LAZAR KHAIMOV Monroe, NY, ranked 7526 | $3.4M |
|
| 4 | TZVI FARKAS Monroe, NY, ranked 8048 | $157K |
|
| 4 | YITZCHOK SCHLAFRIG Monroe, NY, ranked 9014 | $921K |
|
| 4 | SAMUEL WERZBERGER Monroe, NY, ranked 9038 | $852K |
|
| 4 | SAMUEL WEISER Monroe, NY, ranked 9193 | $536K |
|
| 4 | OSA GUOBADIA Middletown, NY, ranked 9692 | $27K |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.