Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Summit BHC New Jersey, LLC

Summit BHC New Jersey, LLC was paid $21.89M by Medicaid between Jan 2021 and Dec 2024, across 2 billing codes. Its largest line is H0010, Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) — 97% of everything it billed.

33Billing provider infoSUMMIT BHC NEW JERSEY, LLC
FRANKLIN, TN 37067
33aNPI1174123582assigned 10/27/2020
28Total paid$21.89M
24GClaims12,898
24DCodes billed2
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Tennessee

Rank by total paid#1 of 17
Median peer was paid$1.51M
This provider vs. median15×

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.

Single-Code Concentration97% of spending on code H0010 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official GILBERT, PAUL controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
20212,111$3.69M
20223,621$5.82M
20234,445$7.76M
2024incomplete2,721$4.62M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 97% 12,563 7,277 $21.16M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 3.3% 335 332 $730K

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
Safe Harbor Behavioral Healthcare, LLCPortsmouth, VA$13.84M
Summit BHC West Virginia LLCCharleston, WV$5.14M
SBH Colorado LLCColorado Springs, CO$4.78M
Sbh-KingsportKingsport, TN$4.00M
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.