Medicaid Provider Spending

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

VCPHCS XII, LLC

NPI: 1407575111 · COLORADO SPRINGS, CO 80907 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/25/2022

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

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

$896K
Total Medicaid Paid
60,538
Total Claims
5,798
Beneficiaries
15
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date08/25/2022

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
2022 12,226 $223K
2023 41,933 $540K
2024 6,379 $133K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 53,335 1,978 $639K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 610 527 $57K
H0001 Alcohol and/or drug assessment 477 356 $46K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,372 965 $40K
82075 1,141 360 $26K
H0004 Behavioral health counseling and therapy, per 15 minutes 372 222 $24K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,234 693 $23K
90832 Psychotherapy, 30 minutes with patient 180 96 $11K
90837 Psychotherapy, 53 minutes with patient 90 64 $10K
H0006 Alcohol and/or drug services; case management 317 241 $9K
H0005 Alcohol and/or drug services; group counseling by a clinician 135 86 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83 43 $2K
93040 116 112 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 51 30 $0.00