Residential
Optihealth, INC.
Optihealth, INC. was paid $7.30M by Medicaid between Jan 2018 and Aug 2020, across 3 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 80% of everything it billed.
33Billing provider infoOPTIHEALTH, INC.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1750427514assigned 01/29/2007
28Total paid$7.30M
24GClaims48,609
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in New Mexico
Rank by total paid#8 of 10
Median peer was paid$19.19M
This provider vs. median0.4×
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 | 22,632 | $3.06M | |
| 2019 | 16,523 | $2.55M | |
| 2020 | 9,454 | $1.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 80% | 39,640 | 632 | $5.87M |
| H2021 | Community-based wrap-around services, per 15 minutes | 18% | 7,344 | 394 | $1.32M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 1.5% | 1,625 | 92 | $106K |
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 officialROY, CHITRA (DIRECTOR)