Clinic
Phoenix Health Center LLC
Phoenix Health Center LLC was paid $21.41M by Medicaid between Jan 2018 and Dec 2024, across 19 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) — 67% of everything it billed.
33Billing provider infoPHOENIX HEALTH CENTER LLC
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1679971097assigned 12/17/2014
28Total paid$21.41M
24GClaims462,740
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Maryland
Rank by total paid#6 of 553
Median peer was paid$501K
This provider vs. median43×
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 | 86,269 | $2.99M | |
| 2019 | 73,560 | $2.83M | |
| 2020 | 70,352 | $2.87M | |
| 2021 | 70,886 | $3.07M | |
| 2022 | 65,387 | $3.29M | |
| 2023 | 57,313 | $3.22M | |
| 2024incomplete | 38,973 | $3.14M |
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) | 67% | 186,934 | 44,923 | $14.38M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 12% | 76,814 | 40,741 | $2.61M |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 6.3% | 20,509 | 5,130 | $1.35M |
| 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 | 3.2% | 6,161 | 5,714 | $679K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 5,259 | 4,321 | $498K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 2.3% | 43,213 | 1,768 | $491K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 1.2% | 1,059 | 1,039 | $268K |
| H0001 | Alcohol and/or drug assessment | 1.2% | 1,415 | 1,406 | $258K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 1.1% | 28,855 | 1,252 | $244K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.1% | 5,374 | 2,968 | $225K |
| J0571 | Buprenorphine, oral, 1 mg | <1% | 78,929 | 2,440 | $161K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 806 | 801 | $118K |
7 more codes
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 4,944 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 622 | $36K |
| W9520 | <1% | 1,548 | $15K | |
| 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% | 126 | $13K |
| W1761 | <1% | 121 | $10K | |
| W1760 | <1% | 34 | $2K | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 17 | $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.
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 |
| 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 |
| 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.