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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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 Unlimited For People With Differeing Abilities, Inc (NPI 1366650178)

Field	Value
Entity Type	Organization
Organization	Opportunities Unlimited For People With Differeing Abilities, Inc
Address	1 Worthington Rd
City	Cranston
State	RI
ZIP	02920
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 18, 2007

Payer Source	Total Paid
Medicaid	$22.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer (Medicaid) operator; total Medicaid revenue on file is $22.6M, and there is no recorded Medicare revenue to compare against. The absence of Medicare activity positions the organization as focused on state Medicaid-funded developmental disability services rather than dual-payer Medicare/Medicaid operations.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 95.8% of this provider's total Medicaid revenue. The dominant code is T2033, which alone represents $17.5M (77.5% of Medicaid revenue), followed by T2021 at $3.3M (14.8%) and T2017 at $791.2K (3.5%), indicating most income derives from a narrow set of service lines.

The code mix and descriptions point to an operation oriented around residential and habilitation services: T2033 (Residential care, waiver; per diem) and T2017 (Habilitation, residential, waiver; 15 minutes) together emphasize residential support capacity, while T2021 (Day habilitation, waiver; per 15 minutes) signals concurrent day habilitation programming. High average paid amounts on the leading codes — for example, T2033 average paid/claim $8541 and T2021 average paid/claim $1635 — reinforce that the business model relies on per-diem residential funding and time-based habilitation reimbursements.

Despite the large absolute revenue from T2033, the provider is not a statewide leader for that code: T2033 ranks #19 of 22 providers in-state (14th percentile) and is described as a typical, unremarkable volume for this code. Similarly, T2021 ranks #26 of 33 (22th percentile) and T2017 ranks #32 of 36 (11th percentile), both labeled as typical, unremarkable volumes, which collectively indicate a modest competitive standing in Rhode Island rather than dominance in any single Medicaid service line.

Ancillary Medicaid activities contribute only modestly to overall revenue: T2003 (Non-emergency transportation; encounter/trip) generated $544.8K (2.4% of Medicaid revenue) with an average paid/claim of $483 and ranks #47 of 55 (15th percentile), and T2022 (Case management, per month) produced $366.4K (1.6%) with an average paid/claim of $174 and ranks #32 of 41 (23th percentile). These figures suggest transportation and case management are complementary revenue streams rather than core business drivers.

There is a material concentration risk in the revenue mix because one per-diem residential code (T2033) accounts for $17.5M of the $22.6M Medicaid total; any policy, rate, or contracting change affecting that single code could disproportionately impact overall revenue. The provider’s reliance on a narrow set of high-dollar residential and habilitation codes makes its financial exposure sensitive to shifts in waiver policies or per-diem reimbursement rates.

The provider is an established local entity with an NPI enumerated on 2007-05-18 (~19 years ago), indicating long tenure in the market; however, longevity has not translated into top-tier state market share for its principal Medicaid codes, as most leading codes are characterized as typical, unremarkable volumes relative to in-state peers. This combination of long tenure and modest in-state ranking suggests stable operations focused on core residential and day habilitation services rather than rapid market expansion.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2,050	$8,540	$17.5M
T2021	Day habilitation, waiver; per 15 minutes	2,040	$1,640	$3.3M
T2017	Habilitation, residential, waiver; 15 minutes	310	$2,540	$791.2K
T2003	Non-emergency transportation; encounter/trip	1,130	$480	$544.8K
T2022	Case management, per month	2,110	$170	$366.4K
T2020	Day habilitation, waiver; per diem	30	$1,070	$33.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Opportunities Unlimited For People With Differeing Abilities, Inc — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	19	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	32	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	26	30	12,340	$410	$10M
T2022	Case management, per month	32	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	47	60	7,480	$80	$1.1M
T2020	Day habilitation, waiver; per diem	15	20	450	$950	$864.4K

Nearby Providers

Other providers in the same ZIP code as Opportunities Unlimited For People With Differeing Abilities, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justice Resource Institute, Inc	RI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$29M
Comprehensive Community Action, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$17.7M
Option Care Enterprises, Inc,	RI	Home Infusion Therapy Pharmacy	$0	$11.1M
Naresh Dasari	RI	Internal Medicine Physician	$199.5K	$7M
Garden City Treatment Center, Inc.	RI	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.4M
Phenix Home Care	RI	Home Health Agency	$0	$5.8M
Jun Parks	RI	Internal Medicine Physician	$74.6K	$5M
Juyoung An	RI	Pediatric Dentistry	$0	$3.9M
Heather Abrahams	RI	Psychiatry Physician	$0	$2.7M
X-ray Associates, Inc	RI	Diagnostic Radiology Physician	$0	$2.6M

Opportunities Unlimited For People With Differeing Abilities, Inc — Billing Profile & Reimbursement Data

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Opportunities Unlimited For People With Differeing Abilities, 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