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.

Opportunity Enterprises, Inc. (NPI 1215087994)

Field	Value
Entity Type	Organization
Organization	Opportunity Enterprises, Inc.
Address	2801 Evans Ave
City	Valparaiso
State	IN
ZIP	46383
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	6,620	$2,540	$16.8M
T2020	Day habilitation, waiver; per diem	60,670	$80	$4.8M
S5151	Unskilled respite care, not hospice; per diem	6,250	$350	$2.2M
T2002	Non-emergency transportation; per diem	9,780	$140	$1.4M
T2015	Habilitation, prevocational, waiver; per hour	10,630	$50	$499.8K
T2025	Waiver services; not otherwise specified (nos)	1,590	$230	$365K
T2022	Case management, per month	1,470	$90	$136.9K

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

Opportunity Enterprises, Inc. — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	24	70	3,190	$630	$14.7M
T2020	Day habilitation, waiver; per diem	3	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	3	40	970	$220	$1.3M
T2022	Case management, per month	32	100	710	$180	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	6	20	5,180	$80	$733.4K
T2002	Non-emergency transportation; per diem	7	70	2,190	$50	$319.8K
T2025	Waiver services; not otherwise specified (nos)	6	20	850	$140	$173.4K

Nearby Providers

Other providers in the same ZIP code as Opportunity Enterprises, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Porter Hospital LLC	IN	General Acute Care Hospital	$0	$28.2M
Porter-starke Services Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$116.4K	$24.7M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Porter-starke Services Inc	IN	Psychiatric Hospital	$0	$16.8M
Valparaiso Family Dentistry PC	IN	General Practice Dentistry	$0	$14.4M
Porter Starke Services Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.9M
Healthlinc, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$7.1M
Porter Physician Services LLC	IN	Family Medicine Physician	$0	$6.4M
Anchor Health Systems, Inc.	IN	Home Health Agency	$0	$5.5M
Raed Aldelayme	IN	Dentist	$0	$3.7M

Opportunity Enterprises, Inc. — Billing Profile & Reimbursement Data

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Opportunity Enterprises, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References