Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lighthouse Behavioral Wellness Centers (NPI 1033265764)

Field	Value
Entity Type	Organization
Organization	Lighthouse Behavioral Wellness Centers
Address	301 W 4th St
City	Ada
State	OK
ZIP	74820
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	9,080	$980	$8.9M
G9002	Coordinated care fee, maintenance rate	4,190	$150	$607.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	5,390	$40	$204.8K
H2011	Crisis intervention service, per 15 minutes	250	$90	$21.6K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	150	$130	$18.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	500	$20	$10.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	220	$10	$2.2K
G9001	Coordinated care fee, initial rate	40	$50	$2K
H2017	Psychosocial rehabilitation services, per 15 minutes	610	$1	$610
H0002	Behavioral health screening to determine eligibility for admission to treatment program	10	$20	$290

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

Lighthouse Behavioral Wellness Centers — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	37	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	130	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	345	620	6,640	$70	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,196	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	158	240	1,280	$50	$259.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,029	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	7	70	630	$140	$216.3K
T1017	Targeted case management, each 15 minutes	279	280	930	$30	$88.4K
H2015	Comprehensive community support services, per 15 minutes	38	150	770	$40	$73.8K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	3	10	100	$110	$28.3K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Lighthouse Behavioral Wellness Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	General Acute Care Hospital	$0	$161.8M
Mercy Hospital Ada, Inc	OK	General Acute Care Hospital	$0	$10.5M
Journey Therapeutic Services PLLC	OK	Clinical Social Worker	$0	$5.1M
Mccall's Chapel School Inc	OK	Nursing Care Agency	$0	$5M
Mercy Hospital Ada, Inc	OK	Ambulance	$0	$4.6M
Central Oklahoma Family Medical Center, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.3M
Quickcare Aprn-cnp, LLC	OK	Family Nurse Practitioner	$0	$3.8M
Robert Morton	OK	Psychiatry Physician	$1.3M	$2.2M
A Path Of Care Home Health I, Inc.	OK	Home Health Agency	$0	$3.4M
Air Evac Ems Inc	OK	Air Ambulance	$1.1M	$2.1M

Lighthouse Behavioral Wellness Centers — Billing Profile & Reimbursement Data

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Lighthouse Behavioral Wellness Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References