Behavioral
Sunburst Community Service Foundation, INC
Sunburst Community Service Foundation, INC was paid $5.27M by Medicaid between Jan 2018 and Jan 2023, across 17 billing codes. Its largest line is T1016, Case management, each 15 minutes — 41% of everything it billed.
33Billing provider infoSUNBURST COMMUNITY SERVICE FOUNDATION, INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1083947055assigned 09/09/2009
33bProvider typeCounselor
28Total paid$5.27M
24GClaims87,970
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Counselor providers in Montana
Rank by total paid#1 of 45
Median peer was paid$68K
This provider vs. median78×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,182 | $1.61M | |
| 2019 | 30,497 | $1.92M | |
| 2020 | 15,582 | $906K | |
| 2021 | 7,253 | $570K | |
| 2022 | 3,311 | $248K | |
| 2023 | 145 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 41% | 33,238 | 11,013 | $2.16M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 9,630 | 7,929 | $716K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 8,736 | 4,561 | $630K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 12,595 | 6,784 | $622K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 8.7% | 10,548 | 3,432 | $456K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.9% | 5,785 | 3,981 | $204K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.3% | 2,291 | 2,064 | $173K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 1,684 | 1,544 | $100K |
| 99205 | Prolong outpt/office vis | 1.7% | 564 | 539 | $89K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 447 | 401 | $40K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 447 | 304 | $31K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,128 | 371 | $19K |
5 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 351 | $15K |
| Q3014 | Telehealth originating site facility fee | <1% | 399 | $7K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 82 | $5K |
| 99442 | <1% | 27 | $199.16 | |
| G2063 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes | 0% | 18 | $0.00 |
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 officialESTES, KATHY (BILLING SUPERVISOR)