Agency
Opportunity Enterprises, INC.
Opportunity Enterprises, INC. was paid $26.11M by Medicaid between Jan 2018 and Sep 2021, across 7 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 64% of everything it billed.
33Billing provider infoOPPORTUNITY ENTERPRISES, INC.
VALPARAISO, IN 46383
VALPARAISO, IN 46383
33aNPI1215087994assigned 01/12/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$26.11M
24GClaims97,021
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Indiana
Rank by total paid#6 of 34
Median peer was paid$5.55M
This provider vs. median4.7×
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 | 34,677 | $8.15M | |
| 2019 | 33,375 | $7.88M | |
| 2020 | 15,099 | $5.91M | |
| 2021 | 13,870 | $4.17M |
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 | 64% | 6,622 | 3,322 | $16.80M |
| T2020 | Day habilitation, waiver; per diem | 18% | 60,674 | 9,910 | $4.78M |
| S5151 | Unskilled respite care, not hospice; per diem | 8.3% | 6,249 | 2,745 | $2.18M |
| T2002 | Non-emergency transportation; per diem | 5.2% | 9,783 | 8,187 | $1.35M |
| T2015 | Habilitation, prevocational, waiver; per hour | 1.9% | 10,634 | 1,490 | $503K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 1.4% | 1,587 | 1,508 | $365K |
| T2022 | Case management, per month | <1% | 1,472 | 1,359 | $137K |
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 officialDEMARTINIS, ELLEN (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Opportunity Enterprises, INC. | Valparaiso, IN | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.