Optimal Living Services, LLC

Optimal Living Services, LLC was paid $10.36M by Medicaid between Jan 2020 and Dec 2024, across 18 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 — 37% of everything it billed.

Compared with peers

Next to other Mental Health Counselor providers in Kentucky

Rank by total paid#10 of 204

Median peer was paid$135K

This provider vs. median77×

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
2020	6,317	$291K
2021	17,356	$838K
2022	31,636	$1.88M
2023	44,584	$2.94M
2024incomplete	57,676	$4.41M

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	37%	32,224	3,213	$3.81M
H0038	Self-help/peer services, per 15 minutes	24%	88,369	4,127	$2.45M
H2027	Psychoeducational service, per 15 minutes	21%	11,776	1,784	$2.12M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	7.9%	12,732	5,400	$816K
T2023	Targeted case management; per month	5.7%	2,065	1,861	$587K
H0032	Mental health service plan development by non-physician	1.5%	2,648	2,400	$151K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.3%	1,655	1,583	$139K
H0031	Mental health assessment, by non-physician	<1%	1,824	1,725	$95K
H0001	Alcohol and/or drug assessment	<1%	1,848	1,733	$95K
90792	Psychiatric diagnostic evaluation with medical services	<1%	335	240	$21K
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%	733	411	$20K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	482	337	$17K

6 more codes

T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	<1%	446	$12K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	250	$3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	46	$2K
99214	Doctor's office visit, returning patient (more involved)	<1%	71	$2K
H2015	Community support for mental illness or disability, per 15 minutes	<1%	30	$2K
90834	Psychotherapy session, about 45 minutes	<1%	35	$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 officialWHEELER, RICHARD (OWNER)