Medicaid Provider Spending

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

SBH EL PASO, LLC

NPI: 1053652438 · ESPANOLA, NM 87532 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 03/08/2013

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

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

$42.30M
Total Medicaid Paid
151,229
Total Claims
30,462
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date03/08/2013

Related Entities

Other providers sharing the same authorized official: GILBERT, PAUL

ProviderCityStateTotal Paid
SUMMIT BHC HENRYVILLLE, LLC TERRE HAUTE IN $90.64M
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
SBH-MADISON LLC MIDDLETON WI $140K
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
2018 4,412 $210K
2019 8,739 $2.07M
2020 11,759 $3.28M
2021 18,997 $3.61M
2022 30,545 $8.45M
2023 39,910 $11.26M
2024 36,867 $13.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0201 Partial hospitalization services, less than 24 hours, per diem 26,578 4,378 $24.92M
H0039 Assertive community treatment, face-to-face, per 15 minutes 68,002 2,805 $13.95M
99232 Subsequent hospital care, per day, moderate complexity 18,502 4,136 $1.24M
99231 Subsequent hospital care, per day, straightforward or low complexity 22,768 7,110 $724K
99233 Prolong inpt eval add15 m 4,053 2,035 $390K
90791 Psychiatric diagnostic evaluation 3,622 3,220 $389K
90792 Psychiatric diagnostic evaluation with medical services 2,390 2,220 $281K
99238 Hospital discharge day management, 30 minutes or less 3,872 3,388 $242K
99239 Hospital discharge day management, more than 30 minutes 632 573 $60K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 200 39 $45K
H0032 Mental health service plan development by non-physician 208 204 $31K
99401 119 117 $10K
99221 168 154 $8K
99222 Initial hospital care, per day, moderate complexity 76 69 $6K
90837 Psychotherapy, 53 minutes with patient 39 14 $3K