Medicaid Provider Spending

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

SBH-GREEN BAY LLC

NPI: 1922556778 · GREEN BAY, WI 54311 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 09/21/2016

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

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

$1.36M
Total Medicaid Paid
46,739
Total Claims
20,286
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBERT, PAUL (CHIEF LEGAL OFFICER)
NPI Enumeration Date09/21/2016

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-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 7,962 $100K
2019 7,787 $174K
2020 8,668 $218K
2021 7,331 $229K
2022 4,846 $197K
2023 5,543 $156K
2024 4,602 $287K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9480 Intensive outpatient psychiatric services, per diem 2,551 330 $480K
99231 Subsequent hospital care, per day, straightforward or low complexity 27,254 9,882 $303K
90791 Psychiatric diagnostic evaluation 4,010 3,434 $253K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 448 50 $71K
99238 Hospital discharge day management, 30 minutes or less 3,024 2,717 $64K
99232 Subsequent hospital care, per day, moderate complexity 4,386 1,667 $54K
90853 Group psychotherapy (other than of a multiple-family group) 1,235 105 $43K
H2012 Behavioral health day treatment, per hour 1,391 119 $41K
99221 1,420 1,217 $32K
99222 Initial hospital care, per day, moderate complexity 701 547 $10K
99239 Hospital discharge day management, more than 30 minutes 168 145 $5K
90792 Psychiatric diagnostic evaluation with medical services 60 39 $2K
99233 Prolong inpt eval add15 m 60 22 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31 12 $479.76