Medicaid Provider Spending

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

SBH COLORADO LLC

NPI: 1659524486 · COLORADO SPRINGS, CO 80923 · Psychiatric Hospital · NPI assigned 10/24/2008

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

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

$4.78M
Total Medicaid Paid
23,421
Total Claims
4,183
Beneficiaries
7
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date10/24/2008

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-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
2018 365 $41K
2019 4,399 $846K
2020 4,521 $985K
2021 2,988 $459K
2022 3,533 $625K
2023 5,175 $1.11M
2024 2,440 $715K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 12,910 2,202 $2.87M
S9480 Intensive outpatient psychiatric services, per diem 8,683 1,517 $1.63M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 1,133 153 $252K
99232 Subsequent hospital care, per day, moderate complexity 387 122 $7K
90791 Psychiatric diagnostic evaluation 116 71 $7K
99239 Hospital discharge day management, more than 30 minutes 139 85 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 53 33 $872.19