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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Enable, Inc. (NPI 1619013430)

Field	Value
Entity Type	Organization
Organization	Enable, Inc.
Address	1836 Raven Dr
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$40.8M
Medicare	$0

Key Findings

ENABLE, INC. is effectively a single-payer Medicaid provider with no Medicare billing on file; total Medicaid revenue on the record is $40.8M and the company has no recorded Medicare revenue, indicating its operations and payer exposure are concentrated entirely in the state Medicaid market. This concentration implies that revenue and operational risk are closely tied to Medicaid policy and reimbursement for habilitation and residential services.

Three Medicaid codes account for the majority of ENABLE, INC.'s Medicaid revenue, with the top 3 codes contributing 87.3% of total Medicaid revenue. The largest revenue driver is T2016 (Habilitation, residential, waiver; per diem) at $17.4M (42.7% of Medicaid revenue), followed by W0725 at $13.3M (32.6%), and T2021 (Day habilitation, waiver; per 15 minutes) at $4.9M (12.0%), demonstrating heavy revenue concentration in a small set of service lines.

The code mix — dominated by T2016 and T2021 — indicates ENABLE, INC. operates primarily as an intellectual/developmental disabilities residential habilitation and day habilitation provider, delivering per diem residential supports and time-based day habilitation services. The prominence of per diem residential habilitation revenue (T2016) relative to time-based day habilitation (T2021) suggests a business model weighted toward around-the-clock residential care rather than predominantly community-based day programming.

Competitive standing by in-state rank shows ENABLE, INC. is a solid but not dominant participant on its top codes: T2016 revenue ranks #8 of 29 providers in-state (75th percentile), W0725 ranks #9 of 25 providers (67th percentile), and T2021 ranks #18 of 26 providers (32th percentile). These positions indicate ENABLE is above median for its largest per-diem residential code and typical for other high-revenue codes, positioning it as a meaningful regional player for residential habilitation but more modest in day habilitation volume.

Several less-common HCPCS entries show high per-claim payments but limited claim volume, such as W0725 ($5175 avg paid/claim) and W0260 ($6306 avg paid/claim). The presence of high-dollar, low-claim codes contributing material revenue ($13.3M and $1M respectively) suggests ENABLE bills for services or items with substantial per-unit reimbursement alongside higher-volume habilitation services, which elevates overall revenue concentration risk into a few high-value claim lines.

ENABLE, INC. has been enumerated since 2007-01-29 (~19 years ago), indicating long-tenured participation in the Medicaid program. This tenure combined with concentrated code usage implies an established service footprint in Bismarck/ND focused on I/DD residential and day habilitation services.

State-level percentile placements for several codes are broadly described as 'typical, unremarkable volume' despite being above median in some cases; this underscores that while ENABLE captures significant Medicaid dollars, its activity patterns generally align with peer behavior statewide rather than reflecting extreme outlier billing patterns.

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
T2016	Habilitation, residential, waiver; per diem	51,310	$340	$17.4M
W0725	N/A	2,570	$5,180	$13.3M
T2021	Day habilitation, waiver; per 15 minutes	25,490	$190	$4.9M
W0715	N/A	6,250	$570	$3.6M
W0260	N/A	160	$6,310	$1M
W0200	N/A	560	$530	$294.1K
W0720	N/A	1,910	$120	$229.1K
T2017	Habilitation, residential, waiver; 15 minutes	640	$100	$66.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Enable, Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	30	21,220	$400	$14.1M
W0725	N/A	9	30	1,380	$2,520	$9.9M
T2021	Day habilitation, waiver; per 15 minutes	18	30	32,410	$170	$6.6M
W0715	N/A	13	30	6,250	$450	$3.8M
W0260	N/A	7	20	150	$4,920	$1M
T2017	Habilitation, residential, waiver; 15 minutes	12	10	4,870	$100	$1M
W0720	N/A	7	10	2,730	$190	$847.3K
W0200	N/A	4	30	200	$1,670	$454.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

Enable, Inc. — Billing Profile & Reimbursement Data

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Enable, 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