Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Opportunities, Inc. Of Jefferson County (NPI 1003057134)

Field	Value
Entity Type	Organization
Organization	Opportunities, Inc. Of Jefferson County
Address	200 E Cramer St
City	Fort Atkinson
State	WI
ZIP	53538
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 19, 2009

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2020	Day habilitation, waiver; per diem	490	$1,390	$682.6K
T2014	Habilitation, prevocational, waiver; per diem	1,350	$320	$428.6K
T2015	Habilitation, prevocational, waiver; per hour	180	$590	$104.2K
S0215	Non-emergency transportation; mileage, per mile	90	$600	$53.7K
T2003	Non-emergency transportation; encounter/trip	90	$480	$43.3K
H0038	Self‑help/peer services, per 15 minutes	90	$110	$9.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Opportunities, Inc. Of Jefferson County — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2020	Day habilitation, waiver; per diem	6	10	590	$650	$949.6K
T2014	Habilitation, prevocational, waiver; per diem	1	10	370	$420	$228K
T2015	Habilitation, prevocational, waiver; per hour	16	20	310	$430	$157.5K
T2003	Non-emergency transportation; encounter/trip	249	260	4,280	$10	$153.2K
H0038	Self‑help/peer services, per 15 minutes	12	10	260	$70	$124K
S0215	Non-emergency transportation; mileage, per mile	147	200	280	$40	$39K

Nearby Providers

Other providers in the same ZIP code as Opportunities, Inc. Of Jefferson County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Healthcare, Inc.	WI	General Acute Care Hospital	$0	$9.4M
School District Of Fort Atkinson	WI	Local Education Agency (LEA)	$0	$1.5M
Rock River Community Clinic, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$1.5M
Fort Healthcare Inc	WI	Rural Health Clinic/Center	$0	$1.4M
City Of Fort Atkinson	WI	Land Ambulance	$166.1K	$87.7K
Walgreen Co	WI	Pharmacy	$175.2K	$27K
Catherine Lee	WI	Ophthalmology Physician	$194.9K	$0
Pain Centers Of Wisconsin - Fort Atkinson, LLC	WI	Interventional Pain Medicine Physician	$101.7K	$0
Paul Schuppner	WI	Orthopaedic Surgery Physician	$96.1K	$0
Matthew Bliss	WI	Orthopaedic Hand Surgery Physician	$74.9K	$0

Opportunities, Inc. Of Jefferson County — Billing Profile & Reimbursement Data

Sign up for Opportunities, Inc. Of Jefferson County — Billing Profile & Reimbursement Data policy alerts

Opportunities, Inc. Of Jefferson County — Billing Profile & Reimbursement Data

Sign up for Opportunities, Inc. Of Jefferson County — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References