Medicaid Provider Spending

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

BHG XXV, LLC

NPI: 1710323894 · PIKEVILLE, KY 41501 · Methadone Clinic · NPI assigned 05/16/2013

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

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

$6.28M
Total Medicaid Paid
63,021
Total Claims
24,482
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date05/16/2013

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 2,453 $359K
2019 6,787 $542K
2020 8,316 $840K
2021 9,468 $947K
2022 12,243 $1.11M
2023 12,338 $1.27M
2024 11,416 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 43,759 9,920 $4.18M
T2023 Targeted case management; per month 4,538 4,280 $1.40M
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 7,157 5,943 $415K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,854 1,022 $77K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 701 91 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,084 768 $46K
90837 Psychotherapy, 53 minutes with patient 746 635 $43K
90832 Psychotherapy, 30 minutes with patient 571 375 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 636 437 $17K
90853 Group psychotherapy (other than of a multiple-family group) 1,332 537 $12K
99215 Prolong outpt/office vis 81 81 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 112 79 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 272 176 $4K
90838 89 71 $2K
H0001 Alcohol and/or drug assessment 58 37 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 18 $583.00
99408 13 12 $196.56