Medicaid Provider Spending

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

BHG REFERENCE LAB, LLC

NPI: 1467806646 · MEMPHIS, TN 38104 · Clinical Medical Laboratory · NPI assigned 04/14/2016

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

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

$14.03M
Total Medicaid Paid
704,008
Total Claims
475,336
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
Parent OrganizationVCPHCS, LP
NPI Enumeration Date04/14/2016

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 36,565 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 223,371 116,278 $7.15M
80363 59,432 44,796 $892K
80353 59,430 44,796 $892K
80346 59,435 44,798 $892K
80358 59,431 44,796 $892K
80349 59,407 44,787 $891K
80324 59,430 44,796 $882K
80345 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 3,655 1,756 $306K
82570 47,659 37,100 $240K
80320 8,701 7,344 $131K
80305 17 14 $220.76
81025 18 13 $139.78
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 7,097 862 $0.00