Clinic
BHG Xlii, LLC
BHG Xlii, LLC was paid $10.15M by Medicaid between Apr 2019 and Dec 2024, across 17 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) — 35% of everything it billed.
33Billing provider infoBHG XLII, LLC
GLEN ALLEN, VA 23059
GLEN ALLEN, VA 23059
33aNPI1932696770assigned 04/17/2018
28Total paid$10.15M
24GClaims851,857
24DCodes billed17
24AFirst – last monthApr 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#13 of 109
Median peer was paid$248K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2019 | 62,915 | $909K | |
| 2020 | 124,488 | $1.41M | |
| 2021 | 161,983 | $1.85M | |
| 2022 | 161,932 | $1.97M | |
| 2023 | 165,157 | $1.87M | |
| 2024incomplete | 175,382 | $2.14M |
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) | 35% | 435,773 | 17,253 | $3.56M |
| G9012 | Other specified case management service not elsewhere classified | 20% | 8,641 | 8,205 | $2.01M |
| S0109 | Methadone, oral, 5 mg | 18% | 357,462 | 17,023 | $1.85M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 15% | 25,935 | 8,562 | $1.55M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 10.0% | 15,319 | 10,518 | $1.01M |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 554 | 504 | $74K |
| 80305 | <1% | 2,907 | 2,175 | $33K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 734 | 543 | $15K |
| 82075 | <1% | 2,322 | 876 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 457 | 390 | $9K |
| T1012 | Alcohol and/or substance abuse services, skills development | <1% | 1,092 | 700 | $7K |
| 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% | 155 | 98 | $6K |
5 more codes
| 86580 | <1% | 377 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $2K |
| 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) | <1% | 40 | $387.44 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 40 | $250.88 |
| 81025 | <1% | 20 | $73.00 |
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.