Agency
BHG Xxvi, LLC
BHG Xxvi, LLC was paid $16.14M by Medicaid between Jan 2018 and Dec 2024, across 22 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) — 74% of everything it billed.
33Billing provider infoBHG XXVI, LLC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1417393414assigned 05/16/2013
33bProvider typeCase Management Agency
28Total paid$16.14M
24GClaims172,478
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Kentucky
Rank by total paid#12 of 94
Median peer was paid$3.21M
This provider vs. median5.0×
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
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 | 3,342 | $521K | |
| 2019 | 11,185 | $1.09M | |
| 2020 | 20,133 | $2.22M | |
| 2021 | 27,459 | $2.52M | |
| 2022 | 36,595 | $3.27M | |
| 2023 | 36,528 | $3.37M | |
| 2024incomplete | 37,236 | $3.16M |
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) | 74% | 125,816 | 29,896 | $11.90M |
| T2023 | Targeted case management; per month | 17% | 9,551 | 8,520 | $2.74M |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 3.4% | 10,125 | 8,636 | $547K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.2% | 7,689 | 4,050 | $362K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 3,106 | 1,886 | $116K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,178 | 1,959 | $109K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | <1% | 526 | 474 | $92K |
| 99205 | Prolong outpt/office vis | <1% | 644 | 577 | $68K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 5,579 | 3,061 | $65K |
| 90838 | <1% | 1,295 | 795 | $48K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 994 | 663 | $29K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 554 | 393 | $27K |
10 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 251 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 70 | $7K |
| 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% | 2,577 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 131 | $3K |
| 90836 | <1% | 39 | $2K | |
| H0001 | Alcohol and/or drug assessment | <1% | 26 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 31 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $620.80 |
| 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% | 227 | $88.98 |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 28 | $69.90 |
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 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 |
| 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.