Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers was paid $7.59M by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 95% of everything it billed.
ARDMORE, OK 73401
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oklahoma
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,390 | $176K | |
| 2019 | 1,200 | $111K | |
| 2020 | 1,503 | $82K | |
| 2021 | 1,884 | $841K | |
| 2022 | 2,835 | $1.67M | |
| 2023 | 3,471 | $2.33M | |
| 2024incomplete | 2,605 | $2.37M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 95% | 7,224 | 7,220 | $7.21M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.6% | 5,415 | 3,854 | $199K |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 2.0% | 429 | 414 | $148K |
| 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% | 346 | 329 | $16K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 230 | 185 | $7K |
| 90839 | <1% | 44 | 42 | $6K | |
| G9001 | Coordinated care fee, initial rate | <1% | 25 | 25 | $1K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 44 | 44 | $1K |
| 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% | 16 | 13 | $965.52 |
| H0032 | Mental health service plan development by non-physician | <1% | 52 | 52 | $955.79 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 0% | 889 | 881 | $0.00 |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 0% | 61 | 57 | $0.00 |
4 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lighthouse Behavioral Wellness Centers | Seminole, OK | $12.06M |
| Lighthouse Behavioral Wellness Centers | Durant, OK | $11.76M |
| Lighthouse Behavioral Wellness Centers | Ada, OK | $9.74M |
| Lighthouse Behavioral Wellness Centers | Pauls Valley, OK | $9.52M |
| Lighthouse Behavioral Wellness Centers | Ardmore, OK | $9.26M |
| Lighthouse Behavioral Wellness Centers | Ardmore, OK | $4.24M |
| Lighthouse Behavioral Wellness Centers | Tishomingo, OK | $1.56M |
| Lighthouse Behavioral Wellness Centers | Ada, OK | $178K |
| Lighthouse Behavioral Wellness Centers | Durant, OK | $162K |
| Lighthouse Behavioral Wellness Centers | Durant, OK | $46K |
| Lighthouse Behavioral Wellness Centers | Ardmore, OK | $45K |
| Lighthouse Behavioral Wellness Centers | Seminole, OK | $42K |
| Lighthouse Behavioral Wellness Centers | Ada, OK | $26K |
| Lighthouse Behavioral Wellness Centers | Ardmore, OK | $13K |
| Lighthouse Behavioral Wellness Centers | Pauls Valley, OK | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.