Agency
The Opportunity Council
The Opportunity Council was paid $1.99M by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is H0043, Supported housing, per diem — 75% of everything it billed.
33Billing provider infoTHE OPPORTUNITY COUNCIL
BELLINGHAM, WA 98225
BELLINGHAM, WA 98225
33aNPI1801117080assigned 06/22/2010
33bProvider typeCase Management Agency
28Total paid$1.99M
24GClaims18,964
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Washington
Rank by total paid#30 of 129
Median peer was paid$423K
This provider vs. median4.7×
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 | 148 | $15K | |
| 2019 | 2,712 | $276K | |
| 2020 | 2,976 | $341K | |
| 2021 | 2,925 | $314K | |
| 2022 | 2,918 | $324K | |
| 2023 | 4,001 | $430K | |
| 2024incomplete | 3,284 | $293K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0043 | Supported housing, per diem | 75% | 13,656 | 4,195 | $1.50M |
| H2023 | Supported employment, per 15 minutes | 22% | 4,122 | 1,502 | $434K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.7% | 714 | 363 | $34K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 1.0% | 212 | 80 | $20K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 109 | 63 | $3K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 62 | 38 | $694.84 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 89 | 39 | $582.55 |
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 officialSHAH, LORENA (DIRECTOR OF OPERATIONS)