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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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 Health Center, LLC (NPI 1437614583)

Field	Value
Entity Type	Organization
Organization	Lighthouse Behavioral Health Center, LLC
Address	1119 E Monument St
City	Baltimore
State	MD
ZIP	21202
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	February 4, 2019

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	82,460	$90	$7.4M
H0005	Alcohol and/or drug services; group counseling by a clinician	39,450	$50	$2M
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…	9,310	$130	$1.2M
H0001	Alcohol and/or drug assessment	2,050	$180	$369.4K
H2036	Alcohol and/or other drug treatment program, per diem	1,140	$210	$239.7K
H0038	Self‑help/peer services, per 15 minutes	3,140	$40	$116K
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…	500	$140	$69.9K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	5,010	$10	$60.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Lighthouse Behavioral Health Center, LLC — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	80	120	2,300	$270	$2.3M
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…	118	400	4,360	$160	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	3	380	1,450	$60	$459K
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…	2,012	3,670	680	$90	$310K
H0005	Alcohol and/or drug services; group counseling by a clinician	6	360	2,160	$50	$284.3K
H0001	Alcohol and/or drug assessment	38	440	190	$170	$115.9K
H0038	Self‑help/peer services, per 15 minutes	4	40	260	$70	$62.5K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	2	30	160	$20	$24.4K

Nearby Providers

Other providers in the same ZIP code as Lighthouse Behavioral Health Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore City Schools	MD	Local Education Agency (LEA)	$0	$95.8M
Mayor And City Council Of Baltimore	MD	Land Ambulance	$6.3M	$38M
Health Care For The Homeless, Inc	MD	Federally Qualified Health Center (FQHC)	$0	$26.8M
Maryland Family Care, Inc.	MD	Family Medicine Physician	$0	$24.6M
Hope Resource Center, LLC	MD	Community/Behavioral Health Agency	$0	$18.1M
Pha Healthcare LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18M
St Paul Place Specialists, Inc.	MD	Dermatology Physician	$0	$13.3M
Emergency Physicians Spps	MD	Emergency Medicine Physician	$0	$9.8M
Heavens Place-outpatient Detox & Recovery Center	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
S K Pesis Dds, Big Smiles Maryland, PC	MD	Dentist	$0	$6.9M

Lighthouse Behavioral Health Center, LLC — Billing Profile & Reimbursement Data

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Lighthouse Behavioral Health Center, LLC — 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