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

BHG Xxxiii, LLC

BHG Xxxiii, LLC was paid $4.85M by Medicaid between Jan 2018 and Dec 2024, across 11 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) — 70% of everything it billed.

33Billing provider infoBHG XXXIII, LLC
PADUCAH, KY 42001
33aNPI1982027199assigned 01/23/2014
33bProvider typeCase Management Agency
28Total paid$4.85M
24GClaims52,915
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Kentucky

Rank by total paid#37 of 94
Median peer was paid$3.21M
This provider vs. median1.5×

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$50K$100K$150K2018201920202021202220232024
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
20181,034$165K
20195,302$417K
20208,367$741K
20218,838$794K
20229,016$821K
20239,589$941K
2024incomplete10,769$968K
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) 70% 36,329 8,253 $3.41M
T2023 Targeted case management; per month 19% 3,174 2,886 $919K
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 3.9% 3,828 2,498 $187K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 3,852 2,456 $148K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 2.2% 2,405 1,852 $105K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 1,087 785 $33K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 870 643 $21K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 514 390 $18K
90853 Group psychotherapy (other than of a multiple-family group) <1% 733 450 $4K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 39 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 84 61 $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 Xli, LLCChesapeake, VA$16.62M
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

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