Medicaid Provider Spending

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

BHG XXXIII, LLC

NPI: 1982027199 · PADUCAH, KY 42001 · Case Management Agency · NPI assigned 01/23/2014

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

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

$4.85M
Total Medicaid Paid
52,915
Total Claims
20,310
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHAM, JAY (CEO)
NPI Enumeration Date01/23/2014

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 1,034 $165K
2019 5,302 $417K
2020 8,367 $741K
2021 8,838 $794K
2022 9,016 $821K
2023 9,589 $941K
2024 10,769 $968K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 36,329 8,253 $3.41M
T2023 Targeted case management; per month 3,174 2,886 $919K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,828 2,498 $187K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,852 2,456 $148K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 2,405 1,852 $105K
90834 Psychotherapy, 45 minutes with patient 1,087 785 $33K
90832 Psychotherapy, 30 minutes with patient 870 643 $21K
90837 Psychotherapy, 53 minutes with patient 514 390 $18K
90853 Group psychotherapy (other than of a multiple-family group) 733 450 $4K
99215 Prolong outpt/office vis 39 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 84 61 $2K