Medicaid Provider Spending

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

SBH-MADISON LLC

NPI: 1003413816 · MIDDLETON, WI 53562 · Multi-Specialty Clinic/Center · NPI assigned 10/05/2020

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

Authorized official GILBERT, PAUL controls 15+ related entities in our dataset. Read more

$140K
Total Medicaid Paid
7,678
Total Claims
2,695
Beneficiaries
11
Codes Billed
2022-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date10/05/2020

Related Entities

Other providers sharing the same authorized official: GILBERT, PAUL

ProviderCityStateTotal Paid
SUMMIT BHC HENRYVILLLE, LLC TERRE HAUTE IN $90.64M
SBH EL PASO, LLC ESPANOLA NM $42.30M
SUMMIT BHC NEW JERSEY, LLC FRANKLIN TN $21.89M
SAFE HARBOR BEHAVIORAL HEALTHCARE, LLC PORTSMOUTH VA $13.84M
SUMMIT BHC WEST VIRGINIA LLC CHARLESTON WV $5.14M
SBH COLORADO LLC COLORADO SPRINGS CO $4.78M
SBH-KINGSPORT KINGSPORT TN $4.00M
STRATEGIC BH-BROWNSVILLE LLC HARLINGEN TX $3.46M
SBH-WILMINGTON LLC LELAND NC $3.33M
SUMMIT BHC WEST VIRGINIA, LLC CHARLESTON WV $1.82M
SBH-GREEN BAY LLC GREEN BAY WI $1.36M
SBH-DAVENPORT, LLC BETTENDORF IA $230K
GARNER BEHAVIORAL HOSPITAL, LLC GARNER NC $131K
WILLIAMSBURG PROFESSIONAL SERVICES, INC. WILLIAMSBURG VA $91K
SUMMIT BHC MESA LLC MESA AZ $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 840 $20K
2023 3,042 $36K
2024 3,796 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 4,130 996 $42K
90853 Group psychotherapy (other than of a multiple-family group) 209 24 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,630 637 $23K
90791 Psychiatric diagnostic evaluation 670 390 $21K
99238 Hospital discharge day management, 30 minutes or less 718 466 $12K
99233 Prolong inpt eval add15 m 170 54 $6K
90792 Psychiatric diagnostic evaluation with medical services 36 30 $3K
99223 Prolong inpt eval add15 m 66 55 $2K
99239 Hospital discharge day management, more than 30 minutes 20 18 $1K
99221 12 12 $734.68
99222 Initial hospital care, per day, moderate complexity 17 13 $667.88