BHG XLII, LLC
NPI: 1063909943
· FRANKLIN, VA 23851
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 04/17/2018
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official HIGHAM, JAY controls 20+ related entities in our dataset. Read more
$2.28M
Total Medicaid Paid
Provider Details
| Authorized Official | HIGHAM, JAY (CEO) |
| NPI Enumeration Date | 04/17/2018 |
Related Entities
Other providers sharing the same authorized official: HIGHAM, JAY
| Provider | City | State | Total Paid |
|---|
| BHG XLII, LLC |
VIRGINIA BEACH |
VA |
$26.97M |
| 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 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
169 |
$1K |
| 2019 |
22,896 |
$188K |
| 2020 |
33,444 |
$375K |
| 2021 |
35,975 |
$371K |
| 2022 |
31,177 |
$337K |
| 2023 |
38,581 |
$467K |
| 2024 |
42,762 |
$545K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
103,992 |
4,021 |
$841K |
| S0109 |
Methadone, oral, 5 mg |
85,770 |
3,776 |
$362K |
| G9012 |
Other specified case management service not elsewhere classified |
1,489 |
1,454 |
$357K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,662 |
2,993 |
$354K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,689 |
1,972 |
$342K |
| 80305 |
|
2,387 |
1,106 |
$29K |
| 82075 |
|
15 |
14 |
$66.24 |