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

BHG Lvii, LLC

BHG Lvii, LLC was paid $1.14M by Medicaid between Dec 2020 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) — 80% of everything it billed.

33Billing provider infoBHG LVII, LLC
PAWTUCKET, RI 02860
33aNPI1306479670assigned 02/14/2020
28Total paid$1.14M
24GClaims11,141
24DCodes billed7
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Rhode Island

Rank by total paid#7 of 15
Median peer was paid$1.14M
This provider vs. median1.0×

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$100K$200K$300K2018201920202021202220232024
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
2020372$5K
202154$832.76
20221,465$162K
20233,835$370K
2024incomplete5,415$602K
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) 80% 9,833 2,005 $911K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 16% 831 805 $184K
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) 2.1% 130 53 $24K
H0004 Behavioral health counseling and therapy, per 15 minutes 1.6% 146 128 $18K
H0037 Community psychiatric supportive treatment program, per diem <1% 18 12 $1K
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% 18 12 $794.25
H0006 Alcohol and/or drug services; case management <1% 165 73 $0.18

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.