Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lighthouse Sober Solutions LLC

Lighthouse Sober Solutions LLC was paid $3.10M by Medicaid between Sep 2023 and Dec 2024, across 12 billing codes. Its largest line is H2027, Psychoeducational service, per 15 minutes — 65% of everything it billed.

33Billing provider infoLIGHTHOUSE SOBER SOLUTIONS LLC
ELIZABETHTOWN, KY 42701
33aNPI1235821083assigned 05/22/2023
28Total paid$3.10M
24GClaims24,976
24DCodes billed12
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Kentucky

Rank by total paid#48 of 152
Median peer was paid$938K
This provider vs. median3.3×

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$100K$200K$300K2018201920202021202220232024
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
20234,977$503K
2024incomplete19,999$2.60M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2027 Psychoeducational service, per 15 minutes 65% 7,178 550 $2.03M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 17% 7,197 545 $513K
H2020 Therapeutic behavioral services, per diem 11% 1,842 253 $338K
H0038 Self-help/peer services, per 15 minutes 4.5% 7,587 573 $138K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 433 332 $23K
T2023 Targeted case management; per month <1% 58 51 $22K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 177 163 $14K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 216 168 $8K
H0032 Mental health service plan development by non-physician <1% 103 99 $6K
H0031 Mental health assessment, by non-physician <1% 109 101 $6K
H0001 Alcohol and/or drug assessment <1% 59 48 $4K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 17 12 $868.67

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 officialMETCALFE, TONY (C.E.O)