Sbh-Madison LLC
Sbh-Madison LLC was paid $140K by Medicaid between Apr 2022 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 30% of everything it billed.
MIDDLETON, WI 53562
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 840 | $20K | |
| 2023 | 3,042 | $36K | |
| 2024incomplete | 3,796 | $85K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 4,130 | 996 | $42K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 20% | 209 | 24 | $28K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 16% | 1,630 | 637 | $23K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 15% | 670 | 390 | $21K |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.7% | 718 | 466 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.3% | 170 | 54 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.1% | 36 | 30 | $3K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 66 | 55 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 20 | 18 | $1K |
| 99221 | <1% | 12 | 12 | $734.68 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | 13 | $667.88 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.