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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 For Positive Growth, Inc (NPI 1184639015)

Field	Value
Entity Type	Organization
Organization	Opportunities For Positive Growth, Inc
Address	15268 Herriman Blvd
City	Noblesville
State	IN
ZIP	46060
Taxonomy	Counselor
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$30.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported lifetime revenue is from Medicaid, totaling $30.1M. The absence of Medicare activity means analyses of Medicare market engagement are not applicable for this entity and Medicaid performance fully defines its public-payer footprint.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 95.9% of this provider's total Medicaid revenue, indicating the business is highly dependent on a narrow set of service lines. This concentration raises sensitivity to reimbursement changes or policy shifts affecting those specific codes.

The billing mix identifies a core operation centered on counseling/therapy and waiver habilitation/residential services. H0004 (Behavioral health counseling and therapy, per 15 minutes) drives $15.9M (52.9% of Medicaid revenue) with 166.1K claims at $96 avg paid/claim, T2016 (Habilitation, residential, waiver; per diem) contributes $8.3M (27.6%) with 11.1K claims at $749 avg paid/claim, and H2032 (Activity therapy, per 15 minutes) adds $4.6M (15.4%) with 96.5K claims at $48 avg paid/claim — together these three codes define the provider’s service portfolio.

H0004 is the single dominant revenue driver and a statewide statistical outlier: it accounts for $15.9M (52.9% of Medicaid revenue), ranks #1 of 72 providers in-state, is in the 100th percentile, and is labeled an "extreme outlier." This position signals market dominance in behavioral health counseling/therapy billing volume relative to peers and suggests the provider operates a high-volume therapy capacity.

T2016 represents a high-dollar per diem service line that supplies $8.3M (27.6% of Medicaid revenue) and pays at an average of $749 per claim. While material to revenue, T2016 ranks #12 of 65 providers in-state and is described as the 83th percentile with "typical, unremarkable volume," indicating that although it contributes sizable revenue due to its high per‑claim rate, the provider is not unusually large statewide for this residential habilitation service.

H2032 contributes $4.6M (15.4% of Medicaid revenue) with 96.5K claims at $48 avg paid/claim and ranks #2 of 26 providers in-state, described as "notably above typical" state volume. This high claim volume for activity therapy underlines a programmatic emphasis on time‑based, direct therapeutic activity in addition to counseling and residential habilitation.

Other Medicaid codes collectively make up a small share of revenue and show modest to low state rankings: examples include 97530 ($347.6K, ranks #63 of 404, 85th percentile), T2020 ($410.1K, ranks #42 of 61, 32th percentile), and T2033 ($213.8K, ranks #28 of 52, 47th percentile). These figures indicate some service diversification beyond the top three codes but that secondary services are comparatively minor contributors to overall Medicaid revenue.

The provider has long tenure in the national registry, with the NPI enumerated on 2006-07-29 (~20 years ago), which may reflect an established operational presence in-state. Combined with the dominant H0004 position and strong H2032 ranking, the longevity supports a picture of an entrenched Medicaid-focused counseling and habilitation provider rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	166,130	$100	$15.9M
T2016	Habilitation, residential, waiver; per diem	11,120	$750	$8.3M
H2032	Activity therapy, per 15 minutes	96,520	$50	$4.6M
T2020	Day habilitation, waiver; per diem	2,190	$190	$410.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	8,690	$40	$347.6K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1,000	$210	$213.8K
T2025	Waiver services; not otherwise specified (nos)	800	$160	$128.3K
T2002	Non-emergency transportation; per diem	1,070	$110	$121K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Opportunities For Positive Growth, Inc — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	12	70	3,190	$630	$14.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	28	50	1,090	$180	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	1	70	3,960	$130	$1.9M
T2020	Day habilitation, waiver; per diem	42	60	5,550	$110	$1.4M
H2032	Activity therapy, per 15 minutes	2	30	1,780	$70	$942.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	63	400	1,100	$40	$382.2K
T2002	Non-emergency transportation; per diem	47	70	2,190	$50	$319.8K
T2025	Waiver services; not otherwise specified (nos)	13	20	850	$140	$173.4K

Nearby Providers

Other providers in the same ZIP code as Opportunities For Positive Growth, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Indiana Inc	IN	Case Manager/Care Coordinator	$0	$61.7M
Orthodynamics Company, Inc.	IN	Durable Medical Equipment & Medical Supplies	$5.1M	$8.1M
Riverview Hospital	IN	Family Medicine Physician	$0	$9.1M
Riverview Hospital	IN	General Acute Care Hospital	$0	$7.9M
Cork Medical LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Rehab Medical, LLC	IN	Customized Equipment (DME)	$0	$4.4M
Pediatric Dentistry Of Noblesville	IN	Pediatric Dentistry	$0	$2.6M
City Of Noblesville	IN	Ambulance	$366.1K	$1.6M
Hamilton Surgery Center LLC	IN	Ambulatory Surgical Clinic/Center	$931.1K	$85.8K
Kathleen Thomas	IN	Rheumatology Physician	$933.8K	$0

Opportunities For Positive Growth, Inc — Billing Profile & Reimbursement Data

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Opportunities For Positive Growth, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References