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BHG XLII, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·VIRGINIA BEACH, VA·NPI: 1003362484Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.0M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.0M

$26,973,829

Total Claims

2.3M

Beneficiaries

172K

13.6 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+129%
2019
$2.9M
+49%
2020
$4.3M
+6%
2021
$4.6M
+11%
2022
$5.1M
+3%
2023
$5.3M
-31%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 34% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$9.2M

1.1M claims · 34.2%

Your Cost: $8.06/claim|Median: $18.95
0.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$5.7M

93K claims · 21.0%

Your Cost: $61.14/claim|Median: $35.43
1.7× median
S0109Normal range

$4.9M

1.0M claims · 18.1%

Your Cost: $4.81/claim|Median: $4.67
1.0× median
G9012Normal range

Other specified case management service, per 15 minutes

$3.4M

14K claims · 12.4%

Your Cost: $239.44/claim|Median: $137.85
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.8M

42K claims · 10.5%

Your Cost: $66.71/claim|Median: $74.63
0.9× median
T1019Normal range

Personal care services, per 15 min

$448K

6,066 claims · 1.7%

Your Cost: $73.90/claim|Median: $82.47
0.9× median
H0014Normal range

$302K

2,324 claims · 1.1%

Your Cost: $130.11/claim|Median: $137.81
0.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$60K

1,006 claims · 0.2%

Your Cost: $59.21/claim|Median: $53.41
1.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$58K

2,462 claims · 0.2%

Your Cost: $23.44/claim|Median: $47.35
0.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$35K

693 claims · 0.1%

Your Cost: $50.93/claim|Median: $37.81
1.3× median
82075Normal range

Alcohol (ethanol) breath test

$35K

7,242 claims · 0.1%

Your Cost: $4.83/claim|Median: $16.59
0.3× median
80305Top 10%

$25K

2,009 claims · 0.1%

Your Cost: $12.36/claim|Median: $7.44
1.7× median
J0574Normal range

$17K

1,307 claims · 0.1%

Your Cost: $13.38/claim|Median: $15.76
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$17K

207 claims · 0.1%

Your Cost: $81.73/claim|Median: $84.03
1.0× median
T1005Normal range

Respite care services, per 15 minutes

$13K

299 claims · 0.0%

Your Cost: $44.82/claim|Median: $71.40
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$7K

204 claims · 0.0%

Your Cost: $32.81/claim|Median: $25.06
1.3× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3K

336 claims · 0.0%

Your Cost: $8.33/claim|Median: $73.29
0.1× median

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Other top providers in Clinic/Center, Rehabilitation, Substance Use Disorder

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$187.4M

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