Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bhg Xlii, LLC (NPI 1922584366)

Field	Value
Entity Type	Organization
Organization	Bhg Xlii, LLC
Address	109 Wimbledon Sq Ste H
City	Chesapeake
State	VA
ZIP	23320
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	July 18, 2018

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	279,700	$10	$2.2M
G9012	Other specified case management service not elsewhere classified	5,610	$250	$1.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	13,070	$90	$1.2M
S0109	Methadone, oral, 5 mg	244,320	$10	$1.2M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	13,560	$60	$827.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,100	$30	$27.6K
H0014	Alcohol and/or drug services; ambulatory detoxification	110	$140	$15.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	750	$10	$9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	320	$30	$9K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	2,120	$1	$8.5K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Bhg Xlii, LLC — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	25	50	274,670	$10	$2.8M
S0109	Methadone, oral, 5 mg	23	50	177,970	$10	$1.7M
G9012	Other specified case management service not elsewhere classified	36	120	2,160	$220	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	33	100	3,280	$40	$455.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	29	170	3,790	$40	$415.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,840	3,520	370	$70	$280.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,415	4,010	290	$50	$199.8K
H0014	Alcohol and/or drug services; ambulatory detoxification	35	50	410	$130	$117.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	827	970	100	$100	$87.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	34	80	760	$20	$86.5K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bhg Xlii, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhg Xlii, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$283K	$27M
Bhg Xlii, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$94.7K	$10M
Bhg Xlii, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$139.6K	$9.3M

Nearby Providers

Other providers in the same ZIP code as Bhg Xlii, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chesapeake Hospital Authority	VA	General Acute Care Hospital	$0	$45.6M
Hnh Virginia, Inc.	VA	Home Health Agency	$0	$42.9M
Gateway Services, LLC	VA	Community/Behavioral Health Agency	$0	$39.8M
Sentara Enterprises	VA	Home Infusion Agency	$0	$38.7M
City Of Chesapeake	VA	Community/Behavioral Health Agency	$0	$27.4M
Clients First Home Health Inc.	VA	Home Health Agency	$0	$24.8M
Immanual Care	VA	Home Health Agency	$0	$23M
Y Christian Care LLC	VA	Home Health Agency	$0	$18.7M
Sentara Enterprises	VA	Home Health Agency	$0	$12.5M
Renaissance Counseling Services, LLC	VA	Community/Behavioral Health Agency	$0	$10.8M

Bhg Xlii, LLC — Billing Profile & Reimbursement Data

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Bhg Xlii, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References