Behavioral
BHG Xxxvi, LLC
BHG Xxxvi, LLC was paid $6.39M by Medicaid between Jan 2018 and Dec 2024, across 12 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) — 98% of everything it billed.
33Billing provider infoBHG XXXVI, LLC
ASHEVILLE, NC 28806
ASHEVILLE, NC 28806
33aNPI1629476627assigned 12/08/2014
33bProvider typeProfessional Counselor
28Total paid$6.39M
24GClaims91,480
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in North Carolina
Rank by total paid#8 of 214
Median peer was paid$108K
This provider vs. median59×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 8,313 | $2.01M |
Box 24 · Service lines
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) | 98% | 87,634 | 10,237 | $6.24M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,486 | 1,000 | $41K |
| 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% | 794 | 527 | $29K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 332 | 302 | $25K |
| H0020CR | <1% | 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) | <1% | 96 | 61 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 332 | 273 | $9K |
| 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% | 146 | 74 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 211 | 76 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 113 | 104 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 200 | 182 | $4K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 32 | 32 | $0.00 |
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)
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.