Clinic
BHG Xlii, LLC
BHG Xlii, LLC was paid $26.97M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 34% of everything it billed.
33Billing provider infoBHG XLII, LLC
VIRGINIA BEACH, VA 23462
VIRGINIA BEACH, VA 23462
33aNPI1003362484assigned 08/26/2016
28Total paid$26.97M
24GClaims2,333,694
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Virginia
Rank by total paid#9 of 109
Median peer was paid$248K
This provider vs. median109×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HIGHAM, JAY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 145,508 | $1.26M | |
| 2019 | 284,973 | $2.88M | |
| 2020 | 370,185 | $4.31M | |
| 2021 | 412,285 | $4.56M | |
| 2022 | 425,662 | $5.08M | |
| 2023 | 416,264 | $5.26M | |
| 2024incomplete | 278,817 | $3.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 34% | 1,145,367 | 43,713 | $9.23M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 21% | 92,548 | 31,772 | $5.66M |
| S0109 | Methadone, oral, 5 mg | 18% | 1,015,336 | 42,930 | $4.89M |
| G9012 | Other specified case management service not elsewhere classified | 12% | 14,013 | 13,567 | $3.36M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 10% | 42,275 | 29,155 | $2.82M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 1.7% | 6,066 | 244 | $448K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 1.1% | 2,324 | 2,195 | $302K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 1,006 | 743 | $60K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 2,462 | 1,166 | $58K |
| 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% | 693 | 641 | $35K |
| 82075 | <1% | 7,242 | 3,985 | $35K | |
| 80305 | <1% | 2,009 | 1,444 | $25K |
5 more codes
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | <1% | 1,307 | $17K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 207 | $17K |
| T1005 | Respite care services, up to 15 minutes | <1% | 299 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 204 | $7K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 336 | $3K |
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 officialHIGHAM, JAY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Michigan Therapeutic Consultants PC | Mount Pleasant, MI | $23.78M |
| Valhalla Place, LLC | Woodbury, MN | $22.06M |
| Phoenix Health Center LLC | Hagerstown, MD | $21.41M |
| Valhalla Place, LLC | Brooklyn Park, MN | $19.08M |
| Alliance Clinic, LLC | Minneapolis, MN | $19.04M |
| DRD Management, INC | New Orleans, LA | $16.90M |
| BHG Xli, LLC | Chesapeake, VA | $16.62M |
| BHG Xxvi, LLC | Hazard, KY | $16.14M |
| BHG Reference Lab, LLC | Memphis, TN | $14.03M |
| Center for Behavioral Health Kentucky LLC | Louisville, KY | $13.15M |
| Center for Behavioral Health Indiana LLC | Fort Wayne, IN | $12.32M |
| Vcphcs Xii, LLC | Denver, CO | $11.54M |
| B Tek, LLC | Woodbury, MN | $10.26M |
| BHG Xlii, LLC | Glen Allen, VA | $10.15M |
| BHG Xlii, LLC | Newport News, VA | $9.32M |
| Valhalla Place Brainerd LLC | Brainerd, MN | $8.76M |
| DRD Management, INC | Knoxville, TN | $8.55M |
| BHG Xxiv, LLC | Paintsville, KY | $7.40M |
| Center for Behavioral Health Kentucky LLC | Richmond, KY | $7.19M |
| Center for Behavioral Health Louisiana LLC | Shreveport, LA | $7.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.