Agency
Opportunity Behavioral Health
Opportunity Behavioral Health was paid $7.79M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 96159, — 44% of everything it billed.
33Billing provider infoOPPORTUNITY BEHAVIORAL HEALTH
READING, PA 19601
READING, PA 19601
33aNPI1629342746assigned 03/07/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$7.79M
24GClaims40,923
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#80 of 517
Median peer was paid$1.23M
This provider vs. median6.3×
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 | 6,340 | $1.13M | |
| 2019 | 6,727 | $1.27M | |
| 2020 | 6,802 | $1.16M | |
| 2021 | 6,191 | $1.17M | |
| 2022 | 5,556 | $1.14M | |
| 2023 | 5,065 | $1.03M | |
| 2024incomplete | 4,242 | $891K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96159 | 44% | 15,160 | 1,840 | $3.45M | |
| 96151 | 37% | 15,723 | 1,122 | $2.86M | |
| 96171 | 18% | 9,673 | 1,751 | $1.39M | |
| W0163 | 1.1% | 367 | 62 | $88K |
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 officialCARVAJAL, ROBERT (PRESIDENT/FOUNDER)