Optimal Behavioral, LLC

Optimal Behavioral, LLC was paid $2.50M by Medicaid between Dec 2022 and Nov 2024, across 2 billing codes. Its largest line is H2012, Behavioral health day treatment, per hour — 78% of everything it billed.

33Billing provider infoOPTIMAL BEHAVIORAL, LLC
CLEVELAND, TN 37312

33aNPI1447629126assigned 09/23/2015

33bProvider typeCounselor

28Total paid$2.50M

24GClaims11,807

24DCodes billed2

24AFirst – last monthDec 2022 – Nov 2024

Compared with peers

Next to other Counselor providers in Tennessee

Rank by total paid#4 of 22

Median peer was paid$31K

This provider vs. median80×

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
2022	17	$5K
2023	4,340	$751K
2024incomplete	7,450	$1.74M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2012	Behavioral health day treatment, per hour	78%	9,721	529	$1.94M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	22%	2,086	1,823	$557K

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 officialBLACKMON, TOMEKIA (MANAGER)