Medicaid Provider Spending

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

SBH-WILMINGTON LLC

NPI: 1639357429 · LELAND, NC 28451 · Psychiatric Residential Treatment Facility · NPI assigned 02/05/2008

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

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

$3.33M
Total Medicaid Paid
39,706
Total Claims
13,455
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date02/05/2008

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
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
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
2018 4,806 $414K
2019 5,439 $476K
2020 2,976 $265K
2021 3,044 $254K
2022 6,906 $400K
2023 7,636 $649K
2024 8,899 $876K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 22,991 5,039 $1.96M
99232 Subsequent hospital care, per day, moderate complexity 11,586 4,001 $744K
99223 Prolong inpt eval add15 m 2,601 2,234 $406K
99239 Hospital discharge day management, more than 30 minutes 2,491 2,153 $220K
99238 Hospital discharge day management, 30 minutes or less 16 13 $949.81
99231 Subsequent hospital care, per day, straightforward or low complexity 21 15 $688.60