Medicaid Provider Spending

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

BHG XLVI, LLC

NPI: 1932633518 · WASHINGTON, DC 20020 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 04/20/2017

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

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

$3.86M
Total Medicaid Paid
380,575
Total Claims
27,571
Beneficiaries
21
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date04/20/2017

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
2020 13,707 $88K
2021 55,710 $533K
2022 143,667 $1.67M
2023 117,522 $773K
2024 49,969 $798K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 351,388 11,947 $3.25M
H0004 Behavioral health counseling and therapy, per 15 minutes 6,530 4,069 $263K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 531 515 $89K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 1,136 751 $66K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 7,581 4,766 $61K
H0001 Alcohol and/or drug assessment 160 145 $36K
H2014 Skills training and development, per 15 minutes 1,017 620 $22K
90832 Psychotherapy, 30 minutes with patient 569 284 $21K
90837 Psychotherapy, 53 minutes with patient 118 83 $13K
H2027 Psychoeducational service, per 15 minutes 684 348 $12K
90791 Psychiatric diagnostic evaluation 104 102 $10K
80305 1,869 1,091 $6K
90853 Group psychotherapy (other than of a multiple-family group) 97 38 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57 45 $2K
H0005 Alcohol and/or drug services; group counseling by a clinician 239 101 $2K
H0006 Alcohol and/or drug services; case management 172 107 $793.22
86803 43 42 $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 796 363 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20 19 $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) 7,234 1,909 $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 230 226 $0.00