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

BHG Xxiv, LLC

BHG Xxiv, LLC was paid $7.40M by Medicaid between Jan 2018 and Dec 2024, across 18 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) — 65% of everything it billed.

33Billing provider infoBHG XXIV, LLC
PAINTSVILLE, KY 41240
33aNPI1568808640assigned 05/16/2013
33bProvider typeCase Management Agency
28Total paid$7.40M
24GClaims83,308
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Kentucky

Rank by total paid#25 of 94
Median peer was paid$3.21M
This provider vs. median2.3×

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

$0$100K$200K2018201920202021202220232024
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
20181,163$191K
20197,239$436K
202010,287$890K
202111,511$1.05M
202212,547$1.22M
202316,963$1.75M
2024incomplete23,598$1.86M
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) 65% 55,514 12,633 $4.84M
T2023 Targeted case management; per month 23% 5,954 5,414 $1.72M
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 3.8% 5,528 4,558 $280K
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 3.1% 5,185 3,101 $231K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 4,453 3,127 $188K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,731 1,327 $49K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,667 2,549 $33K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 278 215 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 459 341 $12K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) <1% 58 53 $10K
90838 <1% 205 157 $8K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 74 62 $2K
6 more codes
99205 Prolong outpt/office vis <1% 13 $2K
H0033 Oral medication administration, direct observation <1% 17 $2K
99215 Doctor's office visit, returning patient (complex) <1% 64 $2K
99204 Doctor's office visit, new patient (more involved) <1% 14 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 82 $1K
99408 <1% 12 $213.96

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)
Same official

Other billing entities under HIGHAM, JAY

Full network →
ProviderLocationPaid
BHG Xlii, LLCVirginia Beach, VA$26.97M
Michigan Therapeutic Consultants PCMount Pleasant, MI$23.78M
Valhalla Place, LLCWoodbury, MN$22.06M
Phoenix Health Center LLCHagerstown, MD$21.41M
Valhalla Place, LLCBrooklyn Park, MN$19.08M
Alliance Clinic, LLCMinneapolis, MN$19.04M
DRD Management, INCNew Orleans, LA$16.90M
BHG Xli, LLCChesapeake, VA$16.62M
BHG Xxvi, LLCHazard, KY$16.14M
BHG Reference Lab, LLCMemphis, TN$14.03M
Center for Behavioral Health Kentucky LLCLouisville, KY$13.15M
Center for Behavioral Health Indiana LLCFort Wayne, IN$12.32M
Vcphcs Xii, LLCDenver, CO$11.54M
B Tek, LLCWoodbury, MN$10.26M
BHG Xlii, LLCGlen Allen, VA$10.15M
BHG Xlii, LLCNewport News, VA$9.32M
Valhalla Place Brainerd LLCBrainerd, MN$8.76M
DRD Management, INCKnoxville, TN$8.55M
Center for Behavioral Health Kentucky LLCRichmond, KY$7.19M
Center for Behavioral Health Louisiana LLCShreveport, LA$7.05M

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