Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

BHG Xlii, LLC

BHG Xlii, LLC was paid $2.28M by Medicaid between Dec 2018 and Dec 2024, across 7 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) — 37% of everything it billed.

33Billing provider infoBHG XLII, LLC
FRANKLIN, VA 23851
33aNPI1063909943assigned 04/17/2018
28Total paid$2.28M
24GClaims205,004
24DCodes billed7
24AFirst – last monthDec 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#27 of 109
Median peer was paid$248K
This provider vs. median9.2×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018169$1K
201922,896$188K
202033,444$375K
202135,975$371K
202231,177$337K
202338,581$467K
2024incomplete42,762$545K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 37% 103,992 4,021 $841K
S0109 Methadone, oral, 5 mg 16% 85,770 3,776 $362K
G9012 Other specified case management service not elsewhere classified 16% 1,489 1,454 $357K
H0004 Behavioral health counseling and therapy, per 15 minutes 15% 5,662 2,993 $354K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15% 5,689 1,972 $342K
80305 1.2% 2,387 1,106 $29K
82075 <1% 15 14 $66.24

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)
Same official

Other billing entities under HIGHAM, JAY

Full network →
ProviderLocationPaid
BHG Xlii, LLCVirginia Beach, VA$26.97M
Michigan Therapeutic Consultants PCMount Pleasant, MI$23.78M
Valhalla Place, LLCWoodbury, MN$22.06M
Phoenix Health Center LLCHagerstown, MD$21.41M
Valhalla Place, LLCBrooklyn Park, MN$19.08M
Alliance Clinic, LLCMinneapolis, MN$19.04M
DRD Management, INCNew Orleans, LA$16.90M
BHG Xli, LLCChesapeake, VA$16.62M
BHG Xxvi, LLCHazard, KY$16.14M
BHG Reference Lab, LLCMemphis, TN$14.03M
Center for Behavioral Health Kentucky LLCLouisville, KY$13.15M
Center for Behavioral Health Indiana LLCFort Wayne, IN$12.32M
Vcphcs Xii, LLCDenver, CO$11.54M
B Tek, LLCWoodbury, MN$10.26M
BHG Xlii, LLCGlen Allen, VA$10.15M
BHG Xlii, LLCNewport News, VA$9.32M
Valhalla Place Brainerd LLCBrainerd, MN$8.76M
DRD Management, INCKnoxville, TN$8.55M
BHG Xxiv, LLCPaintsville, KY$7.40M
Center for Behavioral Health Kentucky LLCRichmond, KY$7.19M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.