Lab
BHG Reference Lab, LLC
BHG Reference Lab, LLC was paid $14.03M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 51% of everything it billed.
33Billing provider infoBHG REFERENCE LAB, LLC
MEMPHIS, TN 38104
MEMPHIS, TN 38104
33aNPI1467806646assigned 04/14/2016
33bProvider typeClinical Medical Laboratory
28Total paid$14.03M
24GClaims704,008
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Tennessee
Rank by total paid#10 of 70
Median peer was paid$141K
This provider vs. median99×
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 | 148,423 | $2.69M | |
| 2019 | 151,169 | $2.56M | |
| 2020 | 144,792 | $2.39M | |
| 2021 | 116,166 | $2.14M | |
| 2022 | 60,683 | $1.17M | |
| 2023 | 46,210 | $1.56M | |
| 2024incomplete | 36,565 | $1.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 51% | 223,371 | 116,278 | $7.15M |
| 80363 | 6.4% | 59,432 | 44,796 | $892K | |
| 80353 | 6.4% | 59,430 | 44,796 | $892K | |
| 80346 | 6.4% | 59,435 | 44,798 | $892K | |
| 80358 | 6.4% | 59,431 | 44,796 | $892K | |
| 80349 | 6.4% | 59,407 | 44,787 | $891K | |
| 80324 | 6.3% | 59,430 | 44,796 | $882K | |
| 80345 | 6.1% | 56,925 | 43,200 | $862K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 2.2% | 3,655 | 1,756 | $306K |
| 82570 | 1.7% | 47,659 | 37,100 | $240K | |
| 80320 | <1% | 8,701 | 7,344 | $131K | |
| 80305 | <1% | 17 | 14 | $220.76 |
2 more codes
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)
Parent organizationVCPHCS, LP
| 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 |
| 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.