Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Vcphcs Xii, LLC

Vcphcs Xii, LLC was paid $675K by Medicaid between Oct 2020 and Nov 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) — 84% of everything it billed.

33Billing provider infoVCPHCS XII, LLC
COLORADO SPRINGS, CO 80907
33aNPI1669020160assigned 08/28/2019
28Total paid$675K
24GClaims41,080
24DCodes billed12
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Colorado

Rank by total paid#55 of 151
Median peer was paid$285K
This provider vs. median2.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20201,077$14K
202110,426$166K
20229,582$166K
2024incomplete19,995$329K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 84% 37,769 1,864 $567K
H0001 Alcohol and/or drug assessment 5.0% 328 323 $34K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.5% 423 275 $23K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3.4% 1,677 933 $23K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.5% 87 84 $10K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 85 67 $5K
H0006 Alcohol and/or drug services; case management <1% 211 203 $4K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 122 119 $4K
82075 <1% 94 28 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 146 74 $2K
80305 <1% 120 95 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 18 14 $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)
Same official

Other billing entities under HIGHAM, JAY

Full network →
ProviderLocationPaid
BHG Xlii, LLCVirginia Beach, VA$26.97M
Michigan Therapeutic Consultants PCMount Pleasant, MI$23.78M
Valhalla Place, LLCWoodbury, MN$22.06M
Phoenix Health Center LLCHagerstown, MD$21.41M
Valhalla Place, LLCBrooklyn Park, MN$19.08M
Alliance Clinic, LLCMinneapolis, MN$19.04M
DRD Management, INCNew Orleans, LA$16.90M
BHG Xli, LLCChesapeake, VA$16.62M
BHG Xxvi, LLCHazard, KY$16.14M
BHG Reference Lab, LLCMemphis, TN$14.03M
Center for Behavioral Health Kentucky LLCLouisville, KY$13.15M
Center for Behavioral Health Indiana LLCFort Wayne, IN$12.32M
Vcphcs Xii, LLCDenver, CO$11.54M
B Tek, LLCWoodbury, MN$10.26M
BHG Xlii, LLCGlen Allen, VA$10.15M
BHG Xlii, LLCNewport News, VA$9.32M
Valhalla Place Brainerd LLCBrainerd, MN$8.76M
DRD Management, INCKnoxville, TN$8.55M
BHG Xxiv, LLCPaintsville, KY$7.40M
Center for Behavioral Health Kentucky LLCRichmond, KY$7.19M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.