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

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

Watauga Opportunities, Inc (NPI 1629165022)

Field	Value
Entity Type	Organization
Organization	Watauga Opportunities, Inc
Address	642 Greenway Rd
City	Boone
State	NC
ZIP	28607
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	37,600	$150	$5.5M
T2021	Day habilitation, waiver; per 15 minutes	21,970	$110	$2.3M
H2026	Ongoing support to maintain employment, per diem	3,560	$20	$81.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Watauga Opportunities, Inc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	117	200	25,740	$130	$4.6M
T2016	Habilitation, residential, waiver; per diem	3	90	5,520	$190	$1.6M
H2026	Ongoing support to maintain employment, per diem	16	40	3,130	$70	$292.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Pediatric & Adolescent Medicine, Inc	NC	Pediatrics Physician	$0	$13.2M
Ovidiu Negrea	NC	Medical Oncology Physician	$1.8M	$0
Watauga Medics Inc	NC	Ambulance	$487K	$387K
James Logan	NC	Rheumatology Physician	$533.1K	$0
Ronald Stanley	NC	Dermatology Physician	$519.2K	$0
Brittain Tulbert	NC	Dermatology Physician	$405K	$0
Daniel Krontz	NC	Ophthalmology Physician	$320K	$0
Aaron Westphal	NC	MOHS-Micrographic Surgery Physician	$291.4K	$0
David Whittaker	NC	Dermatology Physician	$273K	$0
Charles Miller	NC	Urology Physician	$259.4K	$0

Watauga Opportunities, Inc — Billing Profile & Reimbursement Data

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Watauga Opportunities, 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