Medicaid Provider Spending

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

BHG XLII, LLC

NPI: 1932696770 · GLEN ALLEN, VA 23059 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 04/17/2018

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

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

$10.15M
Total Medicaid Paid
851,857
Total Claims
67,295
Beneficiaries
17
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date04/17/2018

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 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
2019 62,915 $909K
2020 124,488 $1.41M
2021 161,983 $1.85M
2022 161,932 $1.97M
2023 165,157 $1.87M
2024 175,382 $2.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 435,773 17,253 $3.56M
G9012 Other specified case management service not elsewhere classified 8,641 8,205 $2.01M
S0109 Methadone, oral, 5 mg 357,462 17,023 $1.85M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,935 8,562 $1.55M
H0004 Behavioral health counseling and therapy, per 15 minutes 15,319 10,518 $1.01M
H0014 Alcohol and/or drug services; ambulatory detoxification 554 504 $74K
80305 2,907 2,175 $33K
H0005 Alcohol and/or drug services; group counseling by a clinician 734 543 $15K
82075 2,322 876 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 457 390 $9K
T1012 Alcohol and/or substance abuse services, skills development 1,092 700 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 155 98 $6K
86580 377 351 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 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) 40 16 $387.44
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 40 40 $250.88
81025 20 12 $73.00