Medicaid Provider Spending

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

BHG XXXVII, LLC

NPI: 1689072688 · CLYDE, NC 28721 · 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

$4.85M
Total Medicaid Paid
57,240
Total Claims
9,669
Beneficiaries
11
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 6,054 $389K
2019 4,456 $301K
2020 7,778 $334K
2021 9,241 $431K
2022 9,081 $385K
2023 12,776 $1.23M
2024 7,854 $1.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 54,235 7,317 $4.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 782 554 $62K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 756 583 $28K
90832 Psychotherapy, 30 minutes with patient 592 487 $22K
90834 Psychotherapy, 45 minutes with patient 437 403 $22K
H0020CR 56 51 $10K
90853 Group psychotherapy (other than of a multiple-family group) 145 131 $3K
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) 26 16 $3K
99215 Prolong outpt/office vis 84 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 26 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 95 75 $0.00