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

BHG Xlii, LLC

BHG Xlii, LLC was paid $6.89M by Medicaid between Jun 2019 and Dec 2024, across 12 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) — 33% of everything it billed.

33Billing provider infoBHG XLII, LLC
CHESAPEAKE, VA 23320
33aNPI1922584366assigned 07/18/2018
28Total paid$6.89M
24GClaims560,707
24DCodes billed12
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

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

Rank by total paid#19 of 109
Median peer was paid$248K
This provider vs. median28×

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$200K2018201920202021202220232024
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
201930,532$273K
202070,703$693K
2021101,288$1.28M
2022113,572$1.63M
2023105,123$1.22M
2024incomplete139,489$1.79M
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) 33% 279,696 11,189 $2.27M
G9012 Other specified case management service not elsewhere classified 20% 5,614 5,533 $1.39M
H0004 Behavioral health counseling and therapy, per 15 minutes 18% 13,069 8,819 $1.23M
S0109 Methadone, oral, 5 mg 16% 244,318 10,554 $1.11M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12% 13,560 4,836 $826K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 1,104 730 $27K
H0014 Alcohol and/or drug services; ambulatory detoxification <1% 108 100 $15K
82075 <1% 2,123 1,009 $9K
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 <1% 320 310 $9K
80305 <1% 748 296 $9K
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% 32 28 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 15 15 $980.32

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.