Clinic
Vcphcs XX, LLC
Vcphcs XX, LLC was paid $2.58M by Medicaid between Jun 2020 and Dec 2024, across 6 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) — 100% of everything it billed.
33Billing provider infoVCPHCS XX, LLC
PARIS, TN 38242
PARIS, TN 38242
33aNPI1265878334assigned 05/16/2013
28Total paid$2.58M
24GClaims362,250
24DCodes billed6
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Tennessee
Rank by total paid#8 of 39
Median peer was paid$389K
This provider vs. median6.6×
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 | |
|---|---|---|---|
| 2020 | 47,260 | $278K | |
| 2021 | 77,776 | $600K | |
| 2022 | 89,484 | $595K | |
| 2023 | 79,061 | $593K | |
| 2024incomplete | 68,669 | $514K |
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) | 100% | 24,649 | 4,980 | $2.57M |
| 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% | 2,384 | 733 | $6K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 153,822 | 5,495 | $269.73 |
| S0109 | Methadone, oral, 5 mg | <1% | 165,652 | 5,196 | $57.71 |
| G2080 | Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 15,710 | 4,935 | $0.02 |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | 0% | 33 | 14 | $0.00 |
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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.