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

BHG Xli, LLC

BHG Xli, LLC was paid $16.62M by Medicaid between Jan 2018 and Dec 2024, across 14 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) — 34% of everything it billed.

33Billing provider infoBHG XLI, LLC
CHESAPEAKE, VA 23321
33aNPI1932655313assigned 08/26/2016
28Total paid$16.62M
24GClaims1,456,905
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#11 of 109
Median peer was paid$248K
This provider vs. median67×

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$200K$300K2018201920202021202220232024
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
201898,525$797K
2019200,920$2.06M
2020245,149$2.81M
2021254,756$3.05M
2022240,143$2.82M
2023217,145$2.60M
2024incomplete200,267$2.48M
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) 34% 708,176 26,832 $5.70M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 21% 56,057 17,997 $3.42M
S0109 Methadone, oral, 5 mg 18% 635,477 26,689 $2.99M
G9012 Other specified case management service not elsewhere classified 17% 11,931 11,618 $2.87M
H0004 Behavioral health counseling and therapy, per 15 minutes 8.0% 26,739 18,769 $1.33M
H0014 Alcohol and/or drug services; ambulatory detoxification <1% 1,041 1,003 $141K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 7,389 3,280 $58K
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% 570 543 $35K
80305 <1% 3,045 1,839 $35K
82075 <1% 5,325 2,561 $25K
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% 283 260 $14K
86580 <1% 752 531 $4K
2 more codes
99204 Doctor's office visit, new patient (more involved) <1% 53 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 67 $2K

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 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
Center for Behavioral Health Louisiana LLCShreveport, LA$7.05M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.