Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

The Opportunity Alliance

The Opportunity Alliance was paid $50.58M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 75% of everything it billed.

33Billing provider infoTHE OPPORTUNITY ALLIANCE
SOUTH PORTLAND, ME 04106
33aNPI1518193812assigned 06/02/2009
28Total paid$50.58M
24GClaims105,091
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emotionally Disturbed Childrens' Residential Treatment Facility providers in Maine

Rank by total paid#1 of 5
Median peer was paid$16.07M
This provider vs. median3.1×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
20185,232$5.19M
20196,076$6.08M
20205,671$8.76M
20215,093$8.58M
202232,128$7.98M
202328,674$7.71M
2024incomplete22,217$6.28M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 75% 52,703 4,052 $38.16M
T1020 Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 25% 52,388 3,992 $12.42M

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 →
ProviderLocationPaid
The Opportunity AllianceSouth Portland, ME$1.62M
The Opportunity AlliancePortland, ME$213K
The Opportunity AllianceS Portland, ME$2K

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