BHG Xlii, LLC
BHG Xlii, LLC was paid $9.32M by Medicaid between Feb 2019 and Dec 2024, across 14 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) — 37% of everything it billed.
NEWPORT NEWS, VA 23605
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 66,326 | $603K | |
| 2020 | 152,877 | $1.66M | |
| 2021 | 168,843 | $2.11M | |
| 2022 | 157,360 | $1.91M | |
| 2023 | 144,495 | $1.40M | |
| 2024incomplete | 168,005 | $1.64M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 37% | 425,421 | 16,139 | $3.45M |
| G9012 | Other specified case management service not elsewhere classified | 21% | 7,968 | 7,822 | $1.96M |
| S0109 | Methadone, oral, 5 mg | 19% | 378,257 | 15,909 | $1.75M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 14% | 22,067 | 8,148 | $1.27M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 8.4% | 18,803 | 12,039 | $784K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 407 | 381 | $54K |
| 80305 | <1% | 3,135 | 1,603 | $27K | |
| 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% | 177 | 154 | $9K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 359 | 329 | $7K |
| 82075 | <1% | 1,084 | 532 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 105 | 97 | $2K |
| 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% | 62 | 60 | $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.
Who's on the registration
| Provider | Location | 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.