Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lighthouse Kids Hixson, LLC

Lighthouse Kids Hixson, LLC was paid $3.71M by Medicaid between Dec 2022 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 93% of everything it billed.

33Billing provider infoLIGHTHOUSE KIDS HIXSON, LLC
HIXSON, TN 37343
33aNPI1013657238assigned 03/29/2022
28Total paid$3.71M
24GClaims19,269
24DCodes billed4
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Tennessee

Rank by total paid#17 of 48
Median peer was paid$1.62M
This provider vs. median2.3×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2022458$31K
20235,964$1.02M
2024incomplete12,847$2.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 93% 16,788 1,609 $3.46M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 5.8% 2,009 550 $213K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes <1% 458 13 $31K
97156 <1% 14 12 $548.49

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 officialWEST, JEFF (CEO)