Medicaid Provider Spending

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

VCPHCS XII, LLC

NPI: 1326209925 · DENVER, CO 80246 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 06/17/2008

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

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

$11.54M
Total Medicaid Paid
707,784
Total Claims
102,305
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date06/17/2008

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 67,886 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 574,541 25,707 $7.63M
H0001 Alcohol and/or drug assessment 5,410 4,685 $657K
H0004 Behavioral health counseling and therapy, per 15 minutes 10,271 6,819 $632K
90837 Psychotherapy, 53 minutes with patient 5,693 4,436 $481K
H0006 Alcohol and/or drug services; case management 12,273 8,157 $433K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 14,086 11,193 $397K
82075 23,738 3,214 $361K
90832 Psychotherapy, 30 minutes with patient 5,134 3,513 $211K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,834 850 $121K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,515 3,480 $96K
80305 10,685 7,746 $80K
90834 Psychotherapy, 45 minutes with patient 1,484 1,245 $80K
H0033 Oral medication administration, direct observation 4,636 234 $64K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 560 470 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,039 743 $44K
99000 19,322 12,802 $42K
99385 573 511 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,310 1,056 $34K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,901 1,556 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 285 235 $19K
H0038 Self-help/peer services, per 15 minutes 406 134 $9K
86580 2,382 2,059 $8K
81025 1,310 1,098 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 69 64 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 109 88 $8K
H0031 Mental health assessment, by non-physician 106 105 $6K
99215 Prolong outpt/office vis 30 27 $4K
99386 41 38 $3K
93040 14 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) 27 26 $0.00