Medicaid Provider Spending

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

VCPHCS XII, LLC

NPI: 1669020160 · COLORADO SPRINGS, CO 80907 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/28/2019

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

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

$675K
Total Medicaid Paid
41,080
Total Claims
4,079
Beneficiaries
12
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date08/28/2019

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
2020 1,077 $14K
2021 10,426 $166K
2022 9,582 $166K
2024 19,995 $329K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 37,769 1,864 $567K
H0001 Alcohol and/or drug assessment 328 323 $34K
90832 Psychotherapy, 30 minutes with patient 423 275 $23K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,677 933 $23K
90837 Psychotherapy, 53 minutes with patient 87 84 $10K
H0004 Behavioral health counseling and therapy, per 15 minutes 85 67 $5K
H0006 Alcohol and/or drug services; case management 211 203 $4K
H0005 Alcohol and/or drug services; group counseling by a clinician 122 119 $4K
82075 94 28 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 146 74 $2K
80305 120 95 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 14 $0.00