L&J Healthcare, LLC

L&J Healthcare, LLC was paid $18.16M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 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 — 51% of everything it billed.

Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio

Rank by total paid#11 of 97

Median peer was paid$1.34M

This provider vs. median14×

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	39,506	$4.23M
2019	30,138	$3.92M
2020	24,139	$3.39M
2021	13,491	$2.37M
2022	11,616	$2.05M
2023	7,928	$1.37M
2024incomplete	5,197	$820K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	51%	52,896	11,516	$9.27M
H2036	Alcohol and/or other drug treatment program, per diem	43%	39,007	2,434	$7.84M
H0006	Alcohol and/or drug services; case management	2.4%	19,350	6,819	$441K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	<1%	12,005	5,371	$160K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	1,382	521	$113K
T1003	Lpn/lvn services, up to 15 minutes	<1%	3,456	1,717	$96K
T1002	Rn services, up to 15 minutes	<1%	1,506	754	$57K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	980	501	$56K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	372	297	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	352	289	$27K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	267	208	$21K
H0012	Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)	<1%	41	27	$14K

4 more codes

90834	Psychotherapy session, about 45 minutes	<1%	253	$14K
99204	Doctor's office visit, new patient (more involved)	<1%	55	$8K
90832	Psychotherapy session, about 30 minutes	<1%	77	$4K
99205	Prolong outpt/office vis	<1%	16	$2K

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 officialRUPERT, MATTHEW (CLINICAL DIRECTOR)