Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VCPHCS XII, LLC

NPI: 1194443804 · DENVER, CO 80246 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/18/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HIGHAM, JAY controls 20+ related entities in our dataset. Read more

$1.69M
Total Medicaid Paid
80,139
Total Claims
13,367
Beneficiaries
21
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date08/18/2022

Related Entities

Other providers sharing the same authorized official: HIGHAM, JAY

ProviderCityStateTotal 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

YearClaimsTotal Paid
2021 79 $965.16
2022 66,646 $1.28M
2023 7,719 $255K
2024 5,695 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 54,413 1,744 $778K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,800 2,182 $233K
82075 7,589 1,979 $167K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,516 2,883 $102K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,564 848 $77K
H0001 Alcohol and/or drug assessment 534 308 $70K
H0004 Behavioral health counseling and therapy, per 15 minutes 753 367 $64K
90837 Psychotherapy, 53 minutes with patient 499 266 $55K
H0006 Alcohol and/or drug services; case management 1,243 615 $51K
90832 Psychotherapy, 30 minutes with patient 490 246 $28K
H0033 Oral medication administration, direct observation 1,164 40 $20K
90834 Psychotherapy, 45 minutes with patient 185 102 $14K
93040 835 735 $9K
H0031 Mental health assessment, by non-physician 47 31 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 99 88 $4K
H0005 Alcohol and/or drug services; group counseling by a clinician 62 16 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $2K
99215 Prolong outpt/office vis 13 12 $2K
81025 33 33 $241.30
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,199 790 $16.50
80305 82 63 $12.60