Medicaid Provider Spending

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

BHG XLII, LLC

NPI: 1922584366 · CHESAPEAKE, VA 23320 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/18/2018

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

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

$6.89M
Total Medicaid Paid
560,707
Total Claims
43,419
Beneficiaries
12
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date07/18/2018

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
2019 30,532 $273K
2020 70,703 $693K
2021 101,288 $1.28M
2022 113,572 $1.63M
2023 105,123 $1.22M
2024 139,489 $1.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 279,696 11,189 $2.27M
G9012 Other specified case management service not elsewhere classified 5,614 5,533 $1.39M
H0004 Behavioral health counseling and therapy, per 15 minutes 13,069 8,819 $1.23M
S0109 Methadone, oral, 5 mg 244,318 10,554 $1.11M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,560 4,836 $826K
H0005 Alcohol and/or drug services; group counseling by a clinician 1,104 730 $27K
H0014 Alcohol and/or drug services; ambulatory detoxification 108 100 $15K
82075 2,123 1,009 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 320 310 $9K
80305 748 296 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 28 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $980.32