Medicaid Provider Spending

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

SBH-KINGSPORT

NPI: 1174038749 · KINGSPORT, TN 37660 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 12/05/2017

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

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

$4.00M
Total Medicaid Paid
78,269
Total Claims
40,977
Beneficiaries
12
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date12/05/2017

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
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 165 $1K
2019 5,044 $126K
2020 10,723 $402K
2021 15,543 $816K
2022 16,219 $935K
2023 17,057 $1.05M
2024 13,518 $676K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 42,760 17,135 $1.39M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 4,226 626 $898K
99223 Prolong inpt eval add15 m 10,425 9,565 $897K
99239 Hospital discharge day management, more than 30 minutes 6,550 5,990 $280K
99233 Prolong inpt eval add15 m 6,475 3,674 $244K
90853 Group psychotherapy (other than of a multiple-family group) 1,450 267 $134K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,054 2,564 $101K
90791 Psychiatric diagnostic evaluation 891 750 $37K
99221 232 221 $11K
99222 Initial hospital care, per day, moderate complexity 125 116 $8K
90792 Psychiatric diagnostic evaluation with medical services 53 42 $3K
99238 Hospital discharge day management, 30 minutes or less 28 27 $888.63