Medicaid Provider Spending

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

SUNBURST COMMUNITY SERVICE FOUNDATION, INC

NPI: 1083947055 · KALISPELL, MT 59901 · Counselor · NPI assigned 09/09/2009

$5.27M
Total Medicaid Paid
87,970
Total Claims
43,583
Beneficiaries
17
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialESTES, KATHY (BILLING SUPERVISOR)
NPI Enumeration Date09/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 33,238 11,013 $2.16M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,630 7,929 $716K
90837 Psychotherapy, 53 minutes with patient 8,736 4,561 $630K
90834 Psychotherapy, 45 minutes with patient 12,595 6,784 $622K
H2019 Therapeutic behavioral services, per 15 minutes 10,548 3,432 $456K
90832 Psychotherapy, 30 minutes with patient 5,785 3,981 $204K
90791 Psychiatric diagnostic evaluation 2,291 2,064 $173K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,684 1,544 $100K
99205 Prolong outpt/office vis 564 539 $89K
99215 Prolong outpt/office vis 447 401 $40K
90847 Family psychotherapy with the patient present, 50 minutes 447 304 $31K
90853 Group psychotherapy (other than of a multiple-family group) 1,128 371 $19K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 351 306 $15K
Q3014 Telehealth originating site facility fee 399 293 $7K
H0038 Self-help/peer services, per 15 minutes 82 29 $5K
99442 27 20 $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 18 12 $0.00