Medicaid Provider Spending

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

WILLIAMSBURG PROFESSIONAL SERVICES, INC.

NPI: 1740529866 · WILLIAMSBURG, VA 23188 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 02/08/2013

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

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

$91K
Total Medicaid Paid
6,569
Total Claims
2,677
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date02/08/2013

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
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
SUMMIT BHC MESA LLC MESA AZ $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,681 $23K
2019 2,498 $31K
2020 1,140 $29K
2021 250 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 1,239 352 $35K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,719 632 $25K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,081 646 $13K
99308 Subsequent nursing facility care, per day, straightforward 1,278 843 $11K
99238 Hospital discharge day management, 30 minutes or less 146 129 $5K
90792 Psychiatric diagnostic evaluation with medical services 106 75 $2K