Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

BHG XXXV, LLC

BHG XXXV, LLC was paid $3.78M by Medicaid between Aug 2019 and Dec 2024, across 11 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) — 86% of everything it billed.

33Billing provider infoBHG XXXV, LLC
BEREA, KY 40403
33aNPI1558895631assigned 04/17/2017
28Total paid$3.78M
24GClaims39,152
24DCodes billed11
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Kentucky

Rank by total paid#8 of 29
Median peer was paid$829K
This provider vs. median4.6×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20191,017$37K
20204,492$451K
20217,002$630K
20228,380$797K
20239,700$966K
2024incomplete8,561$901K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 86% 34,228 7,832 $3.26M
T2023 Targeted case management; per month 8.9% 1,084 1,006 $335K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 1,125 634 $51K
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 <1% 900 405 $37K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 819 663 $37K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 386 268 $24K
99205 Prolong outpt/office vis <1% 106 91 $12K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) <1% 65 52 $11K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 94 70 $4K
90853 Group psychotherapy (other than of a multiple-family group) <1% 307 197 $4K
90838 <1% 38 18 $2K

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 officialROMERO, TONYA (DIRECTOR OF PAYOR CREDENTIALING)
Same official

Other billing entities under ROMERO, TONYA

Full network →
ProviderLocationPaid
BHG XXXV, LLCLexington, KY$14.37M
Vcphcs V, LLCGretna, LA$12.95M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.