Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTIMAL LIVING SERVICES, LLC

NPI: 1831753771 · LEXINGTON, KY 40505 · Mental Health Counselor · NPI assigned 04/25/2019

$10.36M
Total Medicaid Paid
157,569
Total Claims
25,381
Beneficiaries
18
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHEELER, RICHARD (OWNER)
NPI Enumeration Date04/25/2019

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 32,224 3,213 $3.81M
H0038 Self-help/peer services, per 15 minutes 88,369 4,127 $2.45M
H2027 Psychoeducational service, per 15 minutes 11,776 1,784 $2.12M
90837 Psychotherapy, 53 minutes with patient 12,732 5,400 $816K
T2023 Targeted case management; per month 2,065 1,861 $587K
H0032 Mental health service plan development by non-physician 2,648 2,400 $151K
90791 Psychiatric diagnostic evaluation 1,655 1,583 $139K
H0031 Mental health assessment, by non-physician 1,824 1,725 $95K
H0001 Alcohol and/or drug assessment 1,848 1,733 $95K
90792 Psychiatric diagnostic evaluation with medical services 335 240 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 733 411 $20K
90832 Psychotherapy, 30 minutes with patient 482 337 $17K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 446 317 $12K
90853 Group psychotherapy (other than of a multiple-family group) 250 128 $3K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 46 42 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71 32 $2K
H2015 Comprehensive community support services, per 15 minutes 30 19 $2K
90834 Psychotherapy, 45 minutes with patient 35 29 $2K