Medicaid Provider Spending

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

STRATEGIC BH-BROWNSVILLE LLC

NPI: 1154782548 · HARLINGEN, TX 78550 · Psychiatry Physician · NPI assigned 03/11/2016

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

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

$3.46M
Total Medicaid Paid
12,868
Total Claims
3,110
Beneficiaries
6
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date03/11/2016

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
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
2020 592 $108K
2021 3,623 $920K
2022 3,992 $938K
2023 3,150 $908K
2024 1,511 $587K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90853 Group psychotherapy (other than of a multiple-family group) 8,517 1,130 $3.40M
99231 Subsequent hospital care, per day, straightforward or low complexity 3,356 1,211 $39K
99238 Hospital discharge day management, 30 minutes or less 710 613 $15K
99222 Initial hospital care, per day, moderate complexity 91 89 $7K
99233 Prolong inpt eval add15 m 177 53 $3K
99239 Hospital discharge day management, more than 30 minutes 17 14 $252.24