Agency
Community Options, INC
Community Options, INC was paid $76.70M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 70% of everything it billed.
33Billing provider infoCOMMUNITY OPTIONS, INC
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1184838104assigned 05/09/2007
33bProvider typeCase Management Agency
28Total paid$76.70M
24GClaims239,375
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in New Mexico
Rank by total paid#1 of 35
Median peer was paid$2.74M
This provider vs. median28×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,375 | $5.90M | |
| 2019 | 19,976 | $6.59M | |
| 2020 | 21,156 | $8.53M | |
| 2021 | 23,022 | $10.44M | |
| 2022 | 46,190 | $14.24M | |
| 2023 | 64,756 | $19.21M | |
| 2024incomplete | 40,900 | $11.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 70% | 148,406 | 5,143 | $53.91M |
| H2021 | Community-based wrap-around services, per 15 minutes | 17% | 44,703 | 4,392 | $12.81M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 7.3% | 23,210 | 1,247 | $5.63M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 4.5% | 19,686 | 2,419 | $3.47M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | <1% | 836 | 749 | $730K |
| H2022 | Community-based wrap-around services, per diem | <1% | 2,534 | 86 | $146K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTACK, ROBERT (PERSIDENT)
| Provider | Location | Paid |
|---|---|---|
| Community Options Enterprises, INC | Princeton, NJ | $63.46M |
| Community Options, INC | El Paso, TX | $20.44M |
| Community Options, INC. | Amarillo, TX | $16.52M |
| Community Options, INC. | San Antonio, TX | $8.15M |
| Community Options, INC. | Dallas, TX | $6.73M |
| Community Options, INC. | Corpus Christi, TX | $6.63M |
| Community Options, INC. | Austin, TX | $6.51M |
| Community Options, INC. | Bowling Green, KY | $2.56M |
| Las Cruces Orthopaedic Associates, PC | Las Cruces, NM | $733K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.