Opportunity Living

Opportunity Living was paid $3.38M by Medicaid between Feb 2019 and May 2021, across 1 billing code. Its largest line is H2016, community support for mental illness or disability, billed per day — 100% of everything it billed.

33Billing provider infoOPPORTUNITY LIVING
LAKE CITY, IA 51449

33aNPI1497881221assigned 02/26/2007

33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

28Total paid$3.38M

24GClaims435

24DCodes billed1

24AFirst – last monthFeb 2019 – May 2021

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Iowa

Rank by total paid#20 of 22

Median peer was paid$28.86M

This provider vs. median0.1×

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 Concentration100% of spending on code H2016 with only 1 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
2019	192	$1.32M
2020	170	$1.41M
2021	73	$648K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	100%	435	364	$3.38M

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 officialWESTCOTT, JILL (FINANCIAL OFFICER)