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OPPORTUNITY FOUNDATION INC

Day Training, Developmentally Disabled Services·WILLISTON, ND·NPI: 1215442231Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.3M is at the 25th percentile among 56 Day Training, Developmentally Disabled Services providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$26.3M

$26,295,828

Total Claims

106K

Beneficiaries

12K

8.6 claims/patient

Avg Cost/Claim

$248

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-2%
2019
$3.6M
-11%
2020
$3.2M
+3%
2021
$3.3M
-6%
2022
$3.1M
+42%
2023
$4.3M
+22%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 35% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$9.3M

36K claims · 35.5%

Your Cost: $261.86/claim|Median: $331.94
0.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$4.0M

26K claims · 15.1%

Your Cost: $155.52/claim|Median: $150.51
1.0× median
W0725Normal range

Waiver service, state-specific code

$3.8M

770 claims · 14.3%

Your Cost: $4,882.30/claim|Median: $5,225.66
0.9× median
W0715Normal range

$3.0M

7,139 claims · 11.5%

Your Cost: $422.15/claim|Median: $441.83
1.0× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$2.4M

24K claims · 9.2%

Your Cost: $101.65/claim|Median: $88.91
1.1× median
W0710Normal range

$858K

4,457 claims · 3.3%

Your Cost: $192.48/claim|Median: $150.53
1.3× median
W0500Normal range

Waiver service, state-specific code

$752K

4,066 claims · 2.9%

Your Cost: $184.95/claim|Median: $207.17
0.9× median
W0300Normal range

$511K

507 claims · 1.9%

Your Cost: $1,007.53/claim|Median: $601.96
1.7× median
W0510Normal range

$503K

1,775 claims · 1.9%

Your Cost: $283.60/claim|Median: $283.60
1.0× median
W0260Normal range

$331K

79 claims · 1.3%

Your Cost: $4,191.42/claim|Median: $4,950.51
0.8× median
W0200Normal range

$330K

191 claims · 1.3%

Your Cost: $1,728.06/claim|Median: $1,957.11
0.9× median
W0530Normal range

$270K

690 claims · 1.0%

Your Cost: $391.33/claim|Median: $425.64
0.9× median
S5125Top 25%

Attendant care services, per 15 min

$249K

1,490 claims · 0.9%

Your Cost: $167.24/claim|Median: $82.34
2.0× median
W0700Top 25%

$9K

20 claims · 0.0%

Your Cost: $469.94/claim|Median: $265.11
1.8× median
W0520Normal range

$4K

26 claims · 0.0%

Your Cost: $149.39/claim|Median: $422.46
0.4× median