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

Summit BHC West Virginia, LLC

Summit BHC West Virginia, LLC was paid $1.82M by Medicaid between Jul 2020 and Dec 2024, across 8 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 58% of everything it billed.

33Billing provider infoSUMMIT BHC WEST VIRGINIA, LLC
CHARLESTON, WV 25304
33aNPI1801411905assigned 06/15/2020
33bProvider typePsychiatry Physician
28Total paid$1.82M
24GClaims56,880
24DCodes billed8
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in West Virginia

Rank by total paid#8 of 32
Median peer was paid$221K
This provider vs. median8.2×

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$25K$50K$75K2018201920202021202220232024
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
20201,181$9K
20218,744$195K
202216,649$471K
202314,856$489K
2024incomplete15,450$651K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 58% 43,157 7,021 $1.05M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 12% 4,539 1,558 $215K
99222 Initial hospital care, per day, moderate complexity 9.9% 2,430 2,270 $180K
99238 Hospital discharge day management, 30 minutes or less 8.4% 3,695 3,376 $152K
90792 Psychiatric diagnostic evaluation with medical services 4.3% 719 649 $78K
99221 3.8% 1,223 1,155 $69K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.7% 1,061 382 $68K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 56 47 $94.60

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
Sbh-Wilmington LLCLeland, NC$3.33M
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.