Medicaid Provider Spending

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

VCPHCS X, LLC

NPI: 1972056547 · FORT COLLINS, CO 80525 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/29/2016

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

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

$3.60M
Total Medicaid Paid
237,095
Total Claims
27,799
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date07/29/2016

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 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
2018 16,444 $276K
2019 2,512 $11K
2020 23,088 $326K
2021 45,680 $839K
2022 34,649 $614K
2023 62,705 $820K
2024 52,017 $715K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 209,711 9,350 $2.75M
H0004 Behavioral health counseling and therapy, per 15 minutes 3,153 1,749 $220K
H0001 Alcohol and/or drug assessment 1,640 1,534 $160K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,200 839 $105K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 4,127 3,029 $65K
H0006 Alcohol and/or drug services; case management 3,363 2,426 $63K
90837 Psychotherapy, 53 minutes with patient 447 349 $50K
90832 Psychotherapy, 30 minutes with patient 879 572 $48K
80305 3,239 2,164 $36K
82075 1,168 283 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 584 334 $27K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,959 1,035 $15K
H0005 Alcohol and/or drug services; group counseling by a clinician 764 610 $12K
99000 4,435 3,163 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 28 $3K
81025 167 144 $1K
90834 Psychotherapy, 45 minutes with patient 74 59 $515.09
93040 35 35 $452.55
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67 44 $362.51
86580 43 40 $272.57
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 12 12 $0.00