Medicaid Provider Spending

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

BHG XXXVI, LLC

NPI: 1629476627 · ASHEVILLE, NC 28806 · Professional Counselor · NPI assigned 12/08/2014

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

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

$6.39M
Total Medicaid Paid
91,480
Total Claims
12,956
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date12/08/2014

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 9,811 $569K
2019 7,369 $454K
2020 15,985 $562K
2021 17,669 $674K
2022 15,466 $581K
2023 16,867 $1.53M
2024 8,313 $2.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 87,634 10,237 $6.24M
90832 Psychotherapy, 30 minutes with patient 1,486 1,000 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 794 527 $29K
90837 Psychotherapy, 53 minutes with patient 332 302 $25K
H0020CR 104 88 $12K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 96 61 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 332 273 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 146 74 $7K
99215 Prolong outpt/office vis 211 76 $6K
90834 Psychotherapy, 45 minutes with patient 113 104 $6K
90853 Group psychotherapy (other than of a multiple-family group) 200 182 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 32 32 $0.00