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    Christian Opportunity Center — Billing Profile & Reimbursement Data

    NPI 1275578379 · Pella, IA · Intellectual and/or Developmental Disabilities Residential Treatment Facility

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    Christian Opportunity Center is a intellectual and/or developmental disabilities residential treatment facility provider located in Pella, Iowa. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChristian Opportunity Center
    Address1553 Broadway St
    CityPella
    StateIA
    ZIP50219
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedJune 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$54.1M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $54.1M, indicating Medicaid is the dominant — and in practice sole — source of fee-for-service reimbursement for this entity. The NPI was enumerated on 2006-06-20 (~20 years ago), so the provider has an established presence in the market.

    Revenue is highly concentrated in a small set of Medicaid per-diem service lines: S5136 ($27.9M, 51.5%), H2016 ($16.4M, 30.3%), and T2020 ($5.9M, 10.8%) together account for 92.7% of the provider’s Medicaid revenue. That concentration means most financial performance flows from a narrow set of program codes rather than a diversified code mix.

    The code mix and descriptions point to a residential and community habilitation focus: S5136 (Companion care, adult; per diem) and H2016 (Comprehensive community support services, per diem) are the two largest revenue drivers, while T2020 (Day habilitation, waiver; per diem) adds significant day-program volume. These per-diem habilitation and companion-care services are consistent with the provider’s Intellectual and/or Developmental Disabilities Residential Treatment Facility taxonomy and suggest operations centered on long-stay supports and daily-program delivery.

    Claim counts and average paid-per-claim amplify the per-diem revenue picture: S5136 shows 5.3K claims with $5235 avg paid/claim, H2016 shows 3.1K claims with $5352 avg paid/claim, and T2020 shows 9.2K claims with $635 avg paid/claim. The combination of relatively high avg paid per per-diem claim and large claim volumes for those codes explains why a few codes produce most dollars rather than many low-value services.

    State-level competitive standing is modest for the largest codes: S5136 ranks #47 of 82 (43th percentile; typical, unremarkable volume), H2016 ranks #124 of 176 (30th percentile; typical, unremarkable volume), and T2020 ranks #55 of 101 (46th percentile; typical, unremarkable volume). These rank/percentile positions indicate the provider is not a dominant statewide player for its top revenue codes but rather a typical participant among peers.

    There is a relative strength in supported-employment services: H2025 (Ongoing support to maintain employment, per 15 minutes) contributes $3M (5.6% of Medicaid revenue) and ranks #20 of 65 (70th percentile; typical, unremarkable volume). While smaller in dollar terms than the per-diem habilitation lines, H2025’s higher percentile rank signals a comparative advantage or focus area in employment supports versus many peer organizations.

    Most secondary codes shown are also characterized as typical, unremarkable volume in-state (for example, H2015, T2021, T2015), so the provider’s footprint appears consistent across multiple routine habilitation services rather than driven by outlier billing patterns. The absence of Medicare activity combined with the steady Medicaid code distribution suggests operations tightly aligned to state developmental-disability program funding streams.

    Because 92.7% of Medicaid revenue is concentrated in three codes, the provider faces operational and financial sensitivity to policy, rate, or utilization changes in those specific per-diem habilitation and companion-care categories; any state-level reimbursement adjustments to S5136, H2016, or T2020 would likely have an outsized impact on the provider’s top-line Medicaid revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem5,330$5,240$27.9M
    H2016Comprehensive community support services, per diem3,070$5,350$16.4M
    T2020Day habilitation, waiver; per diem9,220$640$5.9M
    H2025Ongoing support to maintain employment, per 15 minutes5,360$560$3M
    H2015Comprehensive community support services, per 15 minutes1,640$310$507.5K
    T2021Day habilitation, waiver; per 15 minutes3,470$80$291.1K
    T2015Habilitation, prevocational, waiver; per hour1,920$70$132.2K
    T2018Habilitation, supported employment, waiver; per diem80$160$11.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem47809,410$490$17.9M
    H2016Comprehensive community support services, per diem12418010,790$390$15.2M
    T2020Day habilitation, waiver; per diem5510010,960$110$3M
    H2025Ongoing support to maintain employment, per 15 minutes20702,970$300$1.9M
    H2015Comprehensive community support services, per 15 minutes681004,130$160$1.9M
    T2015Habilitation, prevocational, waiver; per hour15301,920$70$425.6K
    T2021Day habilitation, waiver; per 15 minutes461002,780$60$386.9K
    T2018Habilitation, supported employment, waiver; per diem2330440$100$140.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pella Regional Health CenterIAMulti-Specialty Clinic/Center$0$3.1M
    Work Systems Rehab, PCIAPhysical Therapist$0$2.4M
    Pella Regional Health CenterIACritical Access Hospital$0$1.9M
    Pella CsdIALocal Education Agency (LEA)$0$1.6M
    City Of PellaIALand Ambulance$197.3K$16.1K
    Hy-vee IncIACommunity/Retail Pharmacy$185.7K$6.5K
    Jennifer PalmerIADermatology Physician$158.7K$0
    Patrick DooleyIAPhysical Therapist$145.9K$0
    Ralph DehaanIAOptometrist$33.2K$98K
    Jordan GreinerIAMedical Physician Assistant$129K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Christian Opportunity Center — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa