Garner Behavioral Hospital, LLC
Garner Behavioral Hospital, LLC was paid $131K by Medicaid between Oct 2023 and Dec 2024, across 9 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 34% of everything it billed.
GARNER, NC 27529
Next to other Psychiatric Hospital providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 398 | $157.16 | |
| 2024incomplete | 8,767 | $130K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 34% | 3,526 | 943 | $45K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 3,405 | 622 | $42K |
| 99222 | Initial hospital care, per day, moderate complexity | 18% | 845 | 478 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | 10% | 863 | 475 | $14K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 167 | 80 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 95 | 64 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 195 | 89 | $2K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 37 | 16 | $1K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 32 | 15 | $151.63 |
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.
Who's on the registration
| Provider | Location | 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 |
| 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 |
| Williamsburg Professional Services, INC. | Williamsburg, VA | $91K |
| Summit BHC Mesa LLC | Mesa, AZ | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.