Medicaid Provider Spending

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

VCPHCS XII, LLC

NPI: 1235673484 · CENTENNIAL, CO 80112 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 12/07/2016

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

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

$1.75M
Total Medicaid Paid
121,471
Total Claims
16,862
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date12/07/2016

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
2018 8,589 $107K
2019 5,989 $62K
2020 32,183 $444K
2021 36,053 $557K
2022 31,058 $498K
2023 6,693 $72K
2024 906 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 102,137 4,427 $1.28M
H0001 Alcohol and/or drug assessment 621 571 $73K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,598 1,090 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 963 685 $53K
82075 2,886 470 $50K
90837 Psychotherapy, 53 minutes with patient 497 414 $41K
90832 Psychotherapy, 30 minutes with patient 899 638 $40K
H0006 Alcohol and/or drug services; case management 1,163 895 $31K
80305 2,665 1,923 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 317 240 $23K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,702 920 $22K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,533 1,346 $20K
99000 4,118 2,910 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 156 132 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $3K
90834 Psychotherapy, 45 minutes with patient 19 14 $1K
81025 81 76 $603.92
86580 71 69 $426.00
93040 19 16 $0.00