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LIGHTHOUSE SUPPORT SERVICES LLC
LIGHTHOUSE SUPPORT SERVICES LLC
NPI: 1134875727
· MESA, AZ 85207
· Adult Mental Health Clinic/Center
· NPI assigned 02/23/2022
$2.60M
Total Medicaid Paid
Provider Details
| Authorized Official | EVANS, JESSICA (ADMINISTRATOR) |
| NPI Enumeration Date | 02/23/2022 |
Related Entities
Other providers sharing the same authorized official: EVANS, JESSICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
84 |
$708K |
| 2023 |
465 |
$1.89M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
309 |
100 |
$2.56M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
118 |
40 |
$20K |
| T1016 |
Case management, each 15 minutes |
94 |
37 |
$8K |
| 90792 |
|
12 |
12 |
$2K |
| H2014 |
Skills training and development, per 15 minutes |
16 |
13 |
$756.14 |