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.

Alpha Opportunities Inc. (NPI 1700487915)

Field	Value
Entity Type	Organization
Organization	Alpha Opportunities Inc.
Address	1521 Business Loop E
City	Jamestown
State	ND
ZIP	58401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 4, 2020

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Key Findings

ALPHA OPPORTUNITIES INC. appears to operate as a Medicaid-focused community/behavioral health agency: it has no Medicare billing on file and reports $20.3M in lifetime Medicaid revenue. This payer concentration makes Medicaid the de facto sole public payer in the record, shaping the provider’s service mix and revenue exposure.

The provider’s highest-revenue fee lines are consistent with waiver-based habilitation services and on-site day programs: T2016 (Habilitation, residential, waiver; per diem) generated $7M (34.4% of Medicaid revenue) across 30.8K claims at $226 avg paid/claim, W0725 generated $5.6M (27.7%) across 1.4K claims at $4068 avg paid/claim, and T2021 (Day habilitation, waiver; per 15 minutes) produced $3M (14.7%) across 20.6K claims at $144 avg paid/claim. These volumes and code descriptions point to a mix of high-volume, time-based habilitation services plus fewer, higher-dollar claim lines.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes by revenue account for 76.8% of the provider’s total Medicaid revenue. That concentration means operational or policy changes affecting waiver habilitation or the specific W codes could materially affect overall receipts.

In payer-mix terms this entity is effectively single-payer at the public program level: Medicare shows none and Medicaid accounts for the full reported $20.3M. Analysts should treat trends and competitive comparisons exclusively through the Medicaid lens for this provider.

Competitive standing on key codes is generally modest to typical within North Dakota. For T2016 the provider ranks #13 of 29 providers (57th percentile) — a middle-tier position; W0725 ranks #13 of 25 (50th percentile), also typical; and T2021 ranks #21 of 26 providers (20th percentile), indicating below-average share for day habilitation relative to peers. These rank/percentile positions suggest the provider is not a dominant statewide leader on its top lines but has an established, routine presence.

Several code-level payment characteristics point to a mixed cost structure: W0725 has a high avg paid/claim at $4068 and accounts for $5.6M (27.7%), while W0260 shows a very high avg paid/claim of $4750 across 126 claims producing $598.5K (3.0%). Those high-dollar, lower-frequency lines contribute materially to revenue despite smaller claim counts and merit separate monitoring from the high-volume, lower-unit-rate habilitation codes.

Beyond the top three, the provider’s remaining Medicaid receipts are distributed across multiple smaller codes (for example W0715 $2.6M, 12.7%; W0720 $480.5K, 2.4%; T2019 $259.1K, 1.3%), indicating some service diversification but limited share outside the dominant waiver habilitation lines. This pattern implies operational focus remains on residential and day habilitation with secondary services contributing the residual 23.2% of revenue.

The provider’s NPI was enumerated on 2020-11-04 (~6 years ago), giving it a modest tenure in the Medicare/Medicaid enrollment file. That age is long enough to establish regular billing patterns but still recent enough that payers and competitors could see material year-over-year shifts as the program mix or referral patterns evolve.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	30,840	$230	$7M
W0725	N/A	1,380	$4,070	$5.6M
T2021	Day habilitation, waiver; per 15 minutes	20,620	$140	$3M
W0715	N/A	4,970	$520	$2.6M
W0260	N/A	130	$4,750	$598.5K
W0720	N/A	2,730	$180	$480.5K
W0200	N/A	140	$2,330	$316.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	8,930	$30	$259.1K
T2017	Habilitation, residential, waiver; 15 minutes	3,700	$70	$247.8K
W0710	N/A	3,130	$50	$162.6K

Showing 1–10 of 11

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

Alpha Opportunities Inc. — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	13	30	21,220	$400	$14.1M
W0725	N/A	13	30	1,380	$2,520	$9.9M
T2021	Day habilitation, waiver; per 15 minutes	21	30	32,410	$170	$6.6M
W0715	N/A	15	30	6,250	$450	$3.8M
T2019	Habilitation, supported employment, waiver; per 15 minutes	13	20	11,310	$80	$1.2M
W0700	N/A	14	20	3,430	$280	$1.2M
W0260	N/A	12	20	150	$4,920	$1M
T2017	Habilitation, residential, waiver; 15 minutes	8	10	4,870	$100	$1M
W0720	N/A	6	10	2,730	$190	$847.3K
W0710	N/A	8	10	3,170	$170	$605.8K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Carlsen Center	ND	Early Intervention Provider Agency	$0	$28.6M
Anne Carlsen Center For Children	ND	Community/Behavioral Health Agency	$0	$13.2M
Triumph, Inc.	ND	Community/Behavioral Health Agency	$0	$10.9M
Anne Carlsen Center	ND	Community/Behavioral Health Agency	$0	$5.9M
Lutheran Charity Association	ND	Critical Access Hospital	$0	$4M
South Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
T & K Early Intervention	ND	Early Intervention Provider Agency	$0	$3M
Anne Carlsen Center	ND	Physical Therapist	$0	$2.2M
Ringdahl, Inc.	ND	Land Ambulance	$503.7K	$1.3M
T & K Speech Language Services, Inc.	ND	Speech-Language Pathologist	$0	$1.2M

Alpha Opportunities Inc. — Billing Profile & Reimbursement Data

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Alpha Opportunities 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