Medicaid Provider Spending

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

SUMMIT BHC WEST VIRGINIA LLC

NPI: 1578188322 · CHARLESTON, WV 25304 · Substance Use Disorder Rehabilitation Hospital Unit · NPI assigned 06/08/2020

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

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

$5.14M
Total Medicaid Paid
14,239
Total Claims
3,434
Beneficiaries
8
Codes Billed
2020-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date06/08/2020

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
SBH COLORADO LLC COLORADO SPRINGS CO $4.78M
SBH-KINGSPORT KINGSPORT TN $4.00M
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
2020 4,041 $434K
2021 4,715 $1.47M
2022 2,751 $1.47M
2023 1,190 $838K
2024 1,542 $930K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 7,138 1,343 $2.64M
H2036 Alcohol and/or other drug treatment program, per diem 3,487 1,003 $2.24M
H0037 Community psychiatric supportive treatment program, per diem 359 87 $184K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,738 522 $58K
99221 200 176 $11K
99238 Hospital discharge day management, 30 minutes or less 192 181 $7K
99222 Initial hospital care, per day, moderate complexity 59 57 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 66 65 $205.64