Medicaid Provider Spending

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

SUMMIT BHC WEST VIRGINIA, LLC

NPI: 1801411905 · CHARLESTON, WV 25304 · Psychiatry Physician · NPI assigned 06/15/2020

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

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

$1.82M
Total Medicaid Paid
56,880
Total Claims
16,458
Beneficiaries
8
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date06/15/2020

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
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 1,181 $9K
2021 8,744 $195K
2022 16,649 $471K
2023 14,856 $489K
2024 15,450 $651K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 43,157 7,021 $1.05M
99232 Subsequent hospital care, per day, moderate complexity 4,539 1,558 $215K
99222 Initial hospital care, per day, moderate complexity 2,430 2,270 $180K
99238 Hospital discharge day management, 30 minutes or less 3,695 3,376 $152K
90792 Psychiatric diagnostic evaluation with medical services 719 649 $78K
99221 1,223 1,155 $69K
99233 Prolong inpt eval add15 m 1,061 382 $68K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 56 47 $94.60