The Opportunity Alliance

The Opportunity Alliance was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoTHE OPPORTUNITY ALLIANCE
SOUTH PORTLAND, ME 04106

33aNPI1326274622assigned 06/02/2009

33bProvider typeCase Management Agency

28Total paid$1.62M

24GClaims18,267

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Maine

Rank by total paid#42 of 79

Median peer was paid$1.77M

This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code T1017 with only 2 total codes billed. Highly concentrated billing profile.

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	2,310	$212K
2019	3,448	$372K
2020	3,503	$290K
2021	3,523	$234K
2022	2,006	$183K
2023	1,393	$144K
2024incomplete	2,084	$185K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	98%	17,301	4,800	$1.60M
T1013	Sign language or oral interpretive services, per 15 minutes	1.6%	966	450	$26K

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 officialHAWLEY, LAUREN (REVENUE MANAGER)

Same official

Other billing entities under HAWLEY, LAUREN

Full network →

Provider	Location	Paid
The Opportunity Alliance	South Portland, ME	$50.58M
The Opportunity Alliance	Portland, ME	$213K
The Opportunity Alliance	S Portland, ME	$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.