Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Kingsport › NPI 1174038749
Clinic

Sbh-Kingsport

Sbh-Kingsport was paid $4.00M by Medicaid between Nov 2018 and Dec 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.

33Billing provider infoSBH-KINGSPORT
KINGSPORT, TN 37660
33aNPI1174038749assigned 12/05/2017
28Total paid$4.00M
24GClaims78,269
24DCodes billed12
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Tennessee

Rank by total paid#8 of 30
Median peer was paid$1.03M
This provider vs. median3.9×

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.

Entity ProliferationAuthorized official GILBERT, PAUL controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018165$1K
20195,044$126K
202010,723$402K
202115,543$816K
202216,219$935K
202317,057$1.05M
2024incomplete13,518$676K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 35% 42,760 17,135 $1.39M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 22% 4,226 626 $898K
99223 Prolong inpt eval add15 m 22% 10,425 9,565 $897K
99239 Hospital discharge day management, more than 30 minutes 7.0% 6,550 5,990 $280K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.1% 6,475 3,674 $244K
90853 Group psychotherapy (other than of a multiple-family group) 3.3% 1,450 267 $134K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.5% 5,054 2,564 $101K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 891 750 $37K
99221 <1% 232 221 $11K
99222 Initial hospital care, per day, moderate complexity <1% 125 116 $8K
90792 Psychiatric diagnostic evaluation with medical services <1% 53 42 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 28 27 $888.63

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.

From NPPES

Who's on the registration

Authorized officialGILBERT, PAUL (CHIEF LEGAL OFFICER)
Same official

Other billing entities under GILBERT, PAUL

Full network →
ProviderLocationPaid
Summit BHC Henryvillle, LLCTerre Haute, IN$90.64M
SBH El Paso, LLCEspanola, NM$42.30M
Summit BHC New Jersey, LLCFranklin, TN$21.89M
Safe Harbor Behavioral Healthcare, LLCPortsmouth, VA$13.84M
Summit BHC West Virginia LLCCharleston, WV$5.14M
SBH Colorado LLCColorado Springs, CO$4.78M
Strategic Bh-Brownsville LLCHarlingen, TX$3.46M
Sbh-Wilmington LLCLeland, NC$3.33M
Summit BHC West Virginia, LLCCharleston, WV$1.82M
Sbh-Green Bay LLCGreen Bay, WI$1.36M
Sbh-Davenport, LLCBettendorf, IA$230K
Sbh-Madison LLCMiddleton, WI$140K
Garner Behavioral Hospital, LLCGarner, NC$131K
Williamsburg Professional Services, INC.Williamsburg, VA$91K
Summit BHC Mesa LLCMesa, AZ$81K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.