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

Why is the Medicaid comparison limited to Montana 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. Montana (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 Resources Inc (NPI 1255406658)

Field	Value
Entity Type	Organization
Organization	Opportunity Resources Inc
Address	2821 S Russell St
City	Missoula
State	MT
ZIP	59801
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$48.5M
Medicare	$0

Key Findings

This provider is effectively single-payer: Medicare billing is none on file while total Medicaid revenue is $48.5M. The provider's NPI was enumerated 2006-11-21 (~20 years ago), indicating long-standing Medicaid participation but no recorded Medicare activity for analysts to compare.

Revenue is highly concentrated in a small set of habilitation and personal-care codes: the precomputed top three codes (T2017, T2013, T1019) account for 62.1% of the provider's Medicaid revenue. Those three codes are T2017 ($16.4M, 33.8%), T2013 ($7.2M, 14.9%), and T1019 ($6.5M, 13.4%), showing most dollars come from intensive habilitation and hands-on personal care services.

The code mix points to an operation focused on community habilitation and residential supports for people with developmental disabilities rather than medical or acute care. High-paid, time-based habilitation codes such as T2017 (habilitative residential; 15 minutes) and T2013 (habilitative educational; per hour), together with significant personal care revenue in T1019, indicate staffing- and time-intensive services delivered in day/residential settings.

Competitive standing across core codes is mixed: for T2017 the provider ranks #8 of 21 in-state (65th percentile) and for T1019 it ranks #20 of 38 (49th percentile), both characterized as typical, unremarkable volume relative to peers. By contrast T2013 ranks #5 of 17 (75th percentile), placing the provider above more peers on educational habilitation but not dominant statewide.

The provider shows notable state-level strength in day habilitation: T2021 generated $6.4M (13.1% of Medicaid revenue) and ranks #5 of 45 providers in-state (91st percentile), a precomputed flag of being notably above typical state volume for this code. This suggests a competitive advantage or operational emphasis on day habilitation services relative to most Montana peers.

The organization is a leading in-state reporter on several ancillary services even when those services contribute smaller shares of revenue. For example, T2002 (non-emergency transportation; per diem) is $386.1K (0.8% of revenue) and ranks #1 of 32 providers (100th percentile, notably above typical state volume), while T2019 ($327.1K, 0.7%) ranks #1 of 2 (100th percentile). Additionally, T2015 ($240.4K, 0.5%) and T2041 ($223.5K, 0.5%) are reported as #1 of 1 providers in-state with no peer volume comparison available, indicating sole reporting for those specialized waiver services.

Billing patterns show a mix of time-based and episodic residential reimbursement models: the provider records large sums in per-15-minute and per-hour habilitation codes (T2017, T2013, T2021) alongside substantial per-diem and per-month residential codes (T2016 $3.8M, 7.8%; T2033 $2M, 4.1%; T2032 $2M, 4.0%). This combination indicates the organization delivers both day habilitation and longer-term residential supports, with revenue streams tied to differing billing units and service durations.

For payers and contracting analysts, the absence of Medicare billing and the fact that the top three Medicaid codes account for 62.1% of Medicaid revenue imply concentrated exposure to Medicaid policy and rate changes. The provider’s strengths in day habilitation (T2021) and leadership in several niche codes (T2002, T2019, T2015, T2041) are actionable signals when evaluating network capacity for developmental disability services and non-emergency transport in Montana.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	2,870	$5,720	$16.4M
T2013	Habilitation, educational, waiver; per hour	1,980	$3,670	$7.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	6,200	$1,050	$6.5M
T2021	Day habilitation, waiver; per 15 minutes	7,200	$880	$6.4M
T2016	Habilitation, residential, waiver; per diem	800	$4,730	$3.8M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	850	$2,370	$2M
T2032	Residential care, not otherwise specified (nos), waiver; per month	2,560	$770	$2M
H2025	Ongoing support to maintain employment, per 15 minutes	1,390	$530	$742.3K
H2019	Therapeutic behavioral services, per 15 minutes	1,500	$460	$684.7K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	440	$890	$395.1K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Opportunity Resources Inc — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	11	20	5,400	$100	$111M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	20	40	6,240	$130	$14.6M
T2017	Habilitation, residential, waiver; 15 minutes	8	20	2,530	$4,970	$13.2M
T2013	Habilitation, educational, waiver; per hour	5	20	770	$2,020	$5.2M
T2016	Habilitation, residential, waiver; per diem	7	10	2,300	$460	$3.2M
T2021	Day habilitation, waiver; per 15 minutes	5	50	1,630	$1,010	$2.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	10	680	$1,190	$1.5M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6	10	1,900	$450	$1.4M
T2032	Residential care, not otherwise specified (nos), waiver; per month	3	20	1,120	$830	$1M
H2019	Therapeutic behavioral services, per 15 minutes	22	40	3,280	$50	$759.9K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Mental Health Center	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$87.8M
Missoula Developmental Service Corp	MT	Non-emergency Medical Transport (VAN)	$0	$33.6M
Express Personnel Services	MT	Nursing Care Agency	$0	$20.4M
3 Rivers Mental Health Solutions LLC	MT	Community/Behavioral Health Agency	$0	$16.7M
Missoula County Public Schools	MT	Local Education Agency (LEA)	$0	$16.3M
Meadowlark Home Care LLC	MT	Home Health Agency	$0	$12.9M
Client Dedicated Services, Inc	MT	Home Health Agency	$0	$10.6M
Children's Dentistry Of The Rockies	MT	Pediatric Dentistry	$0	$10.1M
Missoula Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.3M
Missoula Oral Surgery	MT	Oral and Maxillofacial Surgery Clinic/Center	$0	$8M

Opportunity Resources Inc — Billing Profile & Reimbursement Data

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Opportunity Resources 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