Agency
Community Options, INC
Community Options, INC was paid $20.44M by Medicaid between Nov 2020 and Dec 2024, across 22 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 61% of everything it billed.
33Billing provider infoCOMMUNITY OPTIONS, INC
EL PASO, TX 79925
EL PASO, TX 79925
33aNPI1578576310assigned 08/14/2006
33bProvider typeCase Management Agency
28Total paid$20.44M
24GClaims230,590
24DCodes billed22
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#19 of 219
Median peer was paid$1.45M
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 88 | $2K | |
| 2021 | 36,836 | $2.85M | |
| 2022 | 57,771 | $5.25M | |
| 2023 | 66,213 | $5.93M | |
| 2024incomplete | 69,682 | $6.41M |
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 | 61% | 114,897 | 3,884 | $12.39M |
| H2014 | Skills training and development, per 15 minutes | 9.0% | 35,476 | 2,022 | $1.85M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 4.8% | 7,397 | 420 | $983K |
| M0150 | 4.7% | 5,962 | 241 | $966K | |
| M0152 | 4.4% | 5,125 | 205 | $895K | |
| M0123 | 4.3% | 11,560 | 466 | $880K | |
| T2020 | Day habilitation, waiver; per diem | 2.8% | 14,648 | 800 | $573K |
| M0122 | 2.3% | 6,604 | 269 | $479K | |
| M0116 | 1.8% | 10,677 | 534 | $366K | |
| M0354 | 1.3% | 2,165 | 146 | $270K | |
| M0118 | 1.1% | 5,834 | 278 | $230K | |
| T1002 | Rn services, up to 15 minutes | <1% | 3,732 | 1,658 | $186K |
10 more codes
| D0120 | Dental checkup, returning patient | <1% | 498 | $141K |
| M0115 | <1% | 3,997 | $123K | |
| M0299 | <1% | 885 | $33K | |
| M0125 | <1% | 335 | $32K | |
| S8990 | Physical or manipulative therapy performed for maintenance rather than restoration | <1% | 343 | $27K |
| M0113 | <1% | 41 | $13K | |
| M0315 | <1% | 298 | $7K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 63 | $3K |
| M0101 | <1% | 34 | $2K | |
| M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 19 | $168.22 |
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 (PRESIDENT & C.E.O.)
| Provider | Location | Paid |
|---|---|---|
| Community Options, INC | Albuquerque, NM | $76.70M |
| Community Options Enterprises, INC | Princeton, NJ | $63.46M |
| 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.