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

BHG Lvii, LLC

BHG Lvii, LLC was paid $2.66M by Medicaid between Oct 2021 and Dec 2024, across 7 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) — 82% of everything it billed.

33Billing provider infoBHG LVII, LLC
WESTERLY, RI 02891
33aNPI1700460110assigned 05/11/2021
28Total paid$2.66M
24GClaims74,484
24DCodes billed7
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

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

Rank by total paid#4 of 15
Median peer was paid$1.14M
This provider vs. median2.3×

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$100K$200K$300K2018201920202021202220232024
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
20219,068$177K
202226,460$1.28M
202317,216$566K
2024incomplete21,740$638K
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) 82% 68,817 5,560 $2.19M
H0047 Alcohol and/or other drug abuse services, not otherwise specified 17% 2,041 1,993 $456K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 105 90 $10K
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% 86 38 $3K
H0037 Community psychiatric supportive treatment program, per diem <1% 12 12 $1K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 23 12 $1K
H0006 Alcohol and/or drug services; case management <1% 3,400 1,284 $0.84

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.