Physician
Sbh-Raleigh, LLC
Sbh-Raleigh, LLC was paid $874K by Medicaid between Aug 2018 and Nov 2021, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 48% of everything it billed.
33Billing provider infoSBH-RALEIGH, LLC
GARNER, NC 27529
GARNER, NC 27529
33aNPI1487900296assigned 07/30/2012
33bProvider typePsychiatry Physician
28Total paid$874K
24GClaims15,860
24DCodes billed8
24AFirst – last monthAug 2018 – Nov 2021
Compared with peers
Next to other Psychiatry Physician providers in North Carolina
Rank by total paid#37 of 165
Median peer was paid$187K
This provider vs. median4.7×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,349 | $41K | |
| 2019 | 3,805 | $193K | |
| 2020 | 4,727 | $251K | |
| 2021 | 5,979 | $389K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 48% | 8,052 | 3,066 | $419K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 34% | 4,101 | 1,470 | $301K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 7.2% | 2,686 | 1,036 | $63K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.6% | 416 | 393 | $32K |
| 99223 | Prolong inpt eval add15 m | 3.3% | 207 | 190 | $29K |
| 99221 | 2.5% | 288 | 264 | $22K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 45 | 40 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 65 | 57 | $4K |
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 officialCAGLE, JAMES (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sbh-Montevista, LLC | Las Vegas, NV | $904K |
| SBH - North Denver | Johnstown, CO | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.