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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Counseling Services, Inc. (NPI 1740316058)

Field	Value
Entity Type	Organization
Organization	Lighthouse Counseling Services, Inc.
Address	203 N Elm St
City	Henderson
State	KY
ZIP	42420
Taxonomy	Mental Health Counselor
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	70,970	$70	$4.8M
T2023	Targeted case management; per month	14,460	$300	$4.3M
H0032	Mental health service plan development by non-physician	24,620	$60	$1.5M
99354	N/A	6,320	$60	$354.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	9,630	$40	$346.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,850	$50	$280.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,900	$70	$208.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,100	$50	$98.5K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	2,160	$40	$84K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6,110	$10	$79.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Lighthouse Counseling Services, Inc. — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	76	180	1,320	$220	$1.9M
T2023	Targeted case management; per month	26	530	530	$300	$1.1M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	38	140	460	$70	$475.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	17	1,270	760	$80	$447.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	72	600	600	$40	$207.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	37	500	250	$60	$152.8K
99354	N/A	20	170	470	$50	$151K
H0032	Mental health service plan development by non-physician	4	380	160	$70	$107.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	41	290	670	$20	$103.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	36	680	130	$80	$62.9K

Nearby Providers

Other providers in the same ZIP code as Lighthouse Counseling Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Health, Inc.	KY	General Acute Care Hospital	$0	$51M
Stability Counseling And Associates LLC	KY	Mental Health Counselor	$0	$6.5M
Robert Wagoner	KY	Oral & Maxillofacial Surgery (D.M.D.)	$0	$4.7M
Brad T Fulkerson, Dmd,msd,llc	KY	Pediatric Dentistry	$0	$3.6M
Community Alternatives Kentucky, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$3.3M
Hugh E Sandefur Ind Inc	KY	Contractor	$0	$3.1M
Jason Fogg	KY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$1.2M	$0
James Fellows	KY	Urology Physician	$192.2K	$137.8K
Anthony Perkins	KY	Diagnostic Radiology Physician	$259K	$0
Michael Roof	KY	Family Medicine Physician	$226.9K	$0

Lighthouse Counseling Services, Inc. — Billing Profile & Reimbursement Data

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Lighthouse Counseling Services, Inc. — 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