Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTriumph, Inc.
    Ask Trek AI about this page

    Triumph, Inc. — Billing Profile & Reimbursement Data

    NPI 1699373118 · Jamestown, ND · Community/Behavioral Health Agency

    Customize your policy alerts

    Sign up for Triumph, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Triumph, Inc. is a community/behavioral health agency provider located in Jamestown, North Dakota. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTriumph, Inc.
    Address1805 2nd Ave Sw
    CityJamestown
    StateND
    ZIP58401
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedOctober 16, 2020

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

    Payer SourceTotal Paid
    Medicaid$10.9M
    Medicare$0

    Key Findings

    TRIUMPH, INC. is essentially a Medicaid-focused Community/Behavioral Health Agency: it reports no Medicare revenue on file and $10.9M in lifetime Medicaid revenue, making its operations effectively single-payer (Medicaid) in scale. The provider's NPI was enumerated on 2020-10-16 (~6 years ago), indicating a relatively recent enrollment compared with long-established agencies but enough tenure to have built substantive Medicaid billing activity. Revenue concentration is high: the top 3 Medicaid codes account for 88.7% of the provider's total Medicaid revenue, indicating the business is heavily dependent on a small set of service lines for the majority of its income. The largest single revenue driver is T2016 (Habilitation, residential, waiver; per diem) with $5.3M (48.5% of Medicaid revenue) and 15.3K claims, which suggests the provider operates substantial residential habilitation services and that per-diem residential supports are its core service offering. T2021 (Day habilitation, waiver; per 15 minutes) is the second major driver with $3M (27.2% of Medicaid revenue) and 15.3K claims, reinforcing a service mix focused on habilitation across both residential and day program settings rather than clinical outpatient procedures. Additional significant codes are W0715 and W0725, together contributing roughly 23.6% of Medicaid revenue ($1.4M and $1.2M respectively) with relatively high average paid-per-claim values; these codes are lower-ranked within the state (both in the low percentiles), which indicates TRIUMPH’s use of these higher-paid codes is material to its own revenue but not reflective of statewide market dominance for those service elements. State competitive standing for the top habilitation codes is modest: TRIUMPH ranks #16 of 29 providers for T2016 (46th percentile) and #22 of 26 for T2021 (16th percentile), meaning its volumes on these primary habilitation services are typical to below-typical relative to in-state peers rather than market-leading. Lower-volume codes such as W0200 and T2019 together represent a negligible share of revenue (0.5% and 0.2% respectively) and rank in the mid-to-low percentiles statewide, underscoring that the provider’s financial profile is concentrated in a few habilitation-driven service lines rather than a broad mix of Medicaid procedures. Overall, TRIUMPH’s billing pattern and code mix point to a focused habilitation/residential provider with concentrated Medicaid revenue from a small set of waiver-based services, modest statewide standing on those codes, and no Medicare participation to diversify payer mix.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem15,320$350$5.3M
    T2021Day habilitation, waiver; per 15 minutes15,310$190$3M
    W0715N/A2,660$530$1.4M
    W0725N/A310$3,760$1.2M
    W0200N/A90$640$56.7K
    T2019Habilitation, supported employment, waiver; per 15 minutes910$30$25.6K

    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.

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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem163021,220$400$14.1M
    W0725N/A23301,380$2,520$9.9M
    T2021Day habilitation, waiver; per 15 minutes223032,410$170$6.6M
    W0715N/A23306,250$450$3.8M
    T2019Habilitation, supported employment, waiver; per 15 minutes202011,310$80$1.2M
    W0200N/A2130200$1,670$454.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anne Carlsen CenterNDEarly Intervention Provider Agency$0$28.6M
    Alpha Opportunities Inc.NDCommunity/Behavioral Health Agency$0$20.3M
    Anne Carlsen Center For ChildrenNDCommunity/Behavioral Health Agency$0$13.2M
    Anne Carlsen CenterNDCommunity/Behavioral Health Agency$0$5.9M
    Lutheran Charity AssociationNDCritical Access Hospital$0$4M
    South Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$3.1M
    T & K Early InterventionNDEarly Intervention Provider Agency$0$3M
    Anne Carlsen CenterNDPhysical Therapist$0$2.2M
    Ringdahl, Inc.NDLand Ambulance$503.7K$1.3M
    T & K Speech Language Services, Inc.NDSpeech-Language Pathologist$0$1.2M

    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. North Dakota Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Triumph, Inc. — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota