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

Sbh-Wilmington LLC

Sbh-Wilmington LLC was paid $3.33M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 59% of everything it billed.

33Billing provider infoSBH-WILMINGTON LLC
LELAND, NC 28451
33aNPI1639357429assigned 02/05/2008
28Total paid$3.33M
24GClaims39,706
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Residential Treatment Facility providers in North Carolina

Rank by total paid#4 of 8
Median peer was paid$2.43M
This provider vs. median1.4×

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$100K2018201920202021202220232024
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
20184,806$414K
20195,439$476K
20202,976$265K
20213,044$254K
20226,906$400K
20237,636$649K
2024incomplete8,899$876K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 59% 22,991 5,039 $1.96M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 22% 11,586 4,001 $744K
99223 Prolong inpt eval add15 m 12% 2,601 2,234 $406K
99239 Hospital discharge day management, more than 30 minutes 6.6% 2,491 2,153 $220K
99238 Hospital discharge day management, 30 minutes or less <1% 16 13 $949.81
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 21 15 $688.60

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
Sbh-KingsportKingsport, TN$4.00M
Strategic Bh-Brownsville LLCHarlingen, TX$3.46M
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.