Clinic
Vcphcs Xii, LLC
Vcphcs Xii, LLC was paid $11.54M by Medicaid between Jan 2018 and Nov 2024, across 30 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) — 66% of everything it billed.
33Billing provider infoVCPHCS XII, LLC
DENVER, CO 80246
DENVER, CO 80246
33aNPI1326209925assigned 06/17/2008
28Total paid$11.54M
24GClaims707,784
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Colorado
Rank by total paid#6 of 151
Median peer was paid$285K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2018 | 49,726 | $653K | |
| 2019 | 46,165 | $547K | |
| 2020 | 150,590 | $2.17M | |
| 2021 | 132,428 | $2.17M | |
| 2022 | 140,471 | $2.24M | |
| 2023 | 120,518 | $2.38M | |
| 2024incomplete | 67,886 | $1.38M |
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) | 66% | 574,541 | 25,707 | $7.63M |
| H0001 | Alcohol and/or drug assessment | 5.7% | 5,410 | 4,685 | $657K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5.5% | 10,271 | 6,819 | $632K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 5,693 | 4,436 | $481K |
| H0006 | Alcohol and/or drug services; case management | 3.8% | 12,273 | 8,157 | $433K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 3.4% | 14,086 | 11,193 | $397K |
| 82075 | 3.1% | 23,738 | 3,214 | $361K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 5,134 | 3,513 | $211K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.0% | 2,834 | 850 | $121K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 7,515 | 3,480 | $96K |
| 80305 | <1% | 10,685 | 7,746 | $80K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,484 | 1,245 | $80K |
18 more codes
| H0033 | Oral medication administration, direct observation | <1% | 4,636 | $64K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 560 | $44K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,039 | $44K |
| 99000 | <1% | 19,322 | $42K | |
| 99385 | <1% | 573 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,310 | $34K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,901 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 285 | $19K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 406 | $9K |
| 86580 | <1% | 2,382 | $8K | |
| 81025 | <1% | 1,310 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 69 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 109 | $8K |
| H0031 | Mental health assessment, by non-physician | <1% | 106 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $4K |
| 99386 | <1% | 41 | $3K | |
| 93040 | <1% | 14 | $168.09 | |
| 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) | 0% | 27 | $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 |
| 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 |
| Center for Behavioral Health Louisiana LLC | Shreveport, LA | $7.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.