Medicaid Provider Spending

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

BHG XXXIV, LLC

NPI: 1578986345 · CORBIN, KY 40701 · Case Management Agency · NPI assigned 01/29/2014

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

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

$6.29M
Total Medicaid Paid
69,941
Total Claims
19,552
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date01/29/2014

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
BHG XXIV, LLC PAINTSVILLE KY $7.40M
CENTER FOR BEHAVIORAL HEALTH KENTUCKY LLC RICHMOND KY $7.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 515 $82K
2019 5,517 $363K
2020 9,245 $857K
2021 10,546 $940K
2022 12,997 $1.22M
2023 14,185 $1.42M
2024 16,936 $1.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 61,798 14,032 $5.52M
T2023 Targeted case management; per month 1,873 1,670 $537K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,686 958 $85K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,312 770 $51K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 1,174 923 $42K
90832 Psychotherapy, 30 minutes with patient 582 396 $17K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 68 67 $12K
99205 Prolong outpt/office vis 102 87 $11K
90853 Group psychotherapy (other than of a multiple-family group) 1,083 498 $10K
90838 138 87 $3K
90837 Psychotherapy, 53 minutes with patient 83 38 $3K
99215 Prolong outpt/office vis 14 12 $872.41
90834 Psychotherapy, 45 minutes with patient 28 14 $652.69