Medicaid Provider Spending

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

SUMMIT BHC HENRYVILLLE, LLC

NPI: 1679035232 · TERRE HAUTE, IN 47802 · Substance Abuse Rehabilitation Facility · NPI assigned 04/03/2019

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0010 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$90.64M
Total Medicaid Paid
220,507
Total Claims
17,972
Beneficiaries
2
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date04/03/2019

Related Entities

Other providers sharing the same authorized official: GILBERT, PAUL

ProviderCityStateTotal Paid
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
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 12,947 $3.15M
2021 32,261 $12.17M
2022 49,939 $21.36M
2023 65,736 $27.02M
2024 59,624 $26.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 217,986 17,683 $90.46M
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 2,521 289 $179K