Medicaid Provider Spending

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

BHG XLI, LLC

NPI: 1932655313 · CHESAPEAKE, VA 23321 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/26/2016

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

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

$16.62M
Total Medicaid Paid
1,456,905
Total Claims
112,041
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date08/26/2016

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 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
CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC SHREVEPORT LA $7.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98,525 $797K
2019 200,920 $2.06M
2020 245,149 $2.81M
2021 254,756 $3.05M
2022 240,143 $2.82M
2023 217,145 $2.60M
2024 200,267 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 708,176 26,832 $5.70M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 56,057 17,997 $3.42M
S0109 Methadone, oral, 5 mg 635,477 26,689 $2.99M
G9012 Other specified case management service not elsewhere classified 11,931 11,618 $2.87M
H0004 Behavioral health counseling and therapy, per 15 minutes 26,739 18,769 $1.33M
H0014 Alcohol and/or drug services; ambulatory detoxification 1,041 1,003 $141K
H0005 Alcohol and/or drug services; group counseling by a clinician 7,389 3,280 $58K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 570 543 $35K
80305 3,045 1,839 $35K
82075 5,325 2,561 $25K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 283 260 $14K
86580 752 531 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 52 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67 67 $2K