Clinic
BHG Xlvi, LLC
BHG Xlvi, LLC was paid $3.86M by Medicaid between Jan 2020 and Dec 2024, across 21 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) — 84% of everything it billed.
33Billing provider infoBHG XLVI, LLC
WASHINGTON, DC 20020
WASHINGTON, DC 20020
33aNPI1932633518assigned 04/20/2017
28Total paid$3.86M
24GClaims380,575
24DCodes billed21
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in District of Columbia
Rank by total paid#12 of 36
Median peer was paid$286K
This provider vs. median13×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 13,707 | $88K | |
| 2021 | 55,710 | $533K | |
| 2022 | 143,667 | $1.67M | |
| 2023 | 117,522 | $773K | |
| 2024incomplete | 49,969 | $798K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 84% | 351,388 | 11,947 | $3.25M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 6.8% | 6,530 | 4,069 | $263K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 2.3% | 531 | 515 | $89K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 1.7% | 1,136 | 751 | $66K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1.6% | 7,581 | 4,766 | $61K |
| H0001 | Alcohol and/or drug assessment | <1% | 160 | 145 | $36K |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,017 | 620 | $22K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 569 | 284 | $21K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 118 | 83 | $13K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 684 | 348 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 104 | 102 | $10K |
| 80305 | <1% | 1,869 | 1,091 | $6K |
9 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 97 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 57 | $2K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 239 | $2K |
| H0006 | Alcohol and/or drug services; case management | <1% | 172 | $793.22 |
| 86803 | <1% | 43 | $479.64 | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 0% | 796 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 20 | $0.00 |
| 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) | 0% | 7,234 | $0.00 |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | 0% | 230 | $0.00 |
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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.