Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sophisticated One Counseling

Sophisticated One Counseling was paid $273K by Medicaid between Nov 2019 and Sep 2024, across 2 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 — 91% of everything it billed.

33Billing provider infoSOPHISTICATED ONE COUNSELING
CLEVELAND, OH 44102
33aNPI1821581786assigned 06/14/2018
28Total paid$273K
24GClaims1,801
24DCodes billed2
24AFirst – last monthNov 2019 – Sep 2024
Compared with peers

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

Rank by total paid#72 of 97
Median peer was paid$1.34M
This provider vs. median0.2×

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$50K$100K2018201920202021202220232024
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
2019386$56K
2020202$29K
2022259$47K
2024incomplete954$141K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 91% 1,684 103 $247K
H2036 Alcohol and/or other drug treatment program, per diem 9.3% 117 12 $25K

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 officialSAMPSON, ANGELA (OWNER)