Medicaid Provider Spending

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

BHG XXIV, LLC

NPI: 1568808640 · PAINTSVILLE, KY 41240 · Case Management Agency · NPI assigned 05/16/2013

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

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

$7.40M
Total Medicaid Paid
83,308
Total Claims
33,689
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date05/16/2013

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
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
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 1,163 $191K
2019 7,239 $436K
2020 10,287 $890K
2021 11,511 $1.05M
2022 12,547 $1.22M
2023 16,963 $1.75M
2024 23,598 $1.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 55,514 12,633 $4.84M
T2023 Targeted case management; per month 5,954 5,414 $1.72M
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 5,528 4,558 $280K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,185 3,101 $231K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,453 3,127 $188K
90832 Psychotherapy, 30 minutes with patient 1,731 1,327 $49K
90853 Group psychotherapy (other than of a multiple-family group) 3,667 2,549 $33K
90837 Psychotherapy, 53 minutes with patient 278 215 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 459 341 $12K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 58 53 $10K
90838 205 157 $8K
90834 Psychotherapy, 45 minutes with patient 74 62 $2K
99205 Prolong outpt/office vis 13 13 $2K
H0033 Oral medication administration, direct observation 17 13 $2K
99215 Prolong outpt/office vis 64 31 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 82 70 $1K
99408 12 12 $213.96