Behavioral
Sunburst Health LLC
Sunburst Health LLC was paid $6.11M by Medicaid between Apr 2020 and Dec 2024, across 24 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 32% of everything it billed.
33Billing provider infoSUNBURST HEALTH LLC
MISSOULA, MT 59808
MISSOULA, MT 59808
33aNPI1093297764assigned 08/30/2018
33bProvider typeClinical Social Worker
28Total paid$6.11M
24GClaims102,591
24DCodes billed24
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Montana
Rank by total paid#2 of 347
Median peer was paid$54K
This provider vs. median113×
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 | |
|---|---|---|---|
| 2020 | 15,971 | $451K | |
| 2021 | 14,492 | $830K | |
| 2022 | 18,367 | $1.22M | |
| 2023 | 26,732 | $1.94M | |
| 2024incomplete | 27,029 | $1.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 32% | 27,027 | 11,065 | $1.94M |
| T1016 | Case management, each 15 minutes | 18% | 24,485 | 6,816 | $1.08M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.6% | 6,225 | 4,873 | $527K |
| 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 | 8.2% | 5,779 | 4,718 | $501K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 6.4% | 1,340 | 494 | $394K |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 5.1% | 197 | 55 | $312K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.7% | 6,320 | 3,390 | $286K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 5,438 | 2,974 | $193K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.0% | 13,593 | 2,860 | $186K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 2,142 | 1,783 | $146K |
| 99205 | Prolong outpt/office vis | 2.3% | 832 | 661 | $141K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 1,165 | 980 | $135K |
12 more codes
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 2.1% | 3,437 | $131K |
| H0038 | Self-help/peer services, per 15 minutes | 1.1% | 1,247 | $65K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 736 | $34K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,733 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 73 | $8K |
| H2014 | Skills training and development, per 15 minutes | <1% | 144 | $8K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 130 | $4K |
| 99344 | <1% | 57 | $3K | |
| 99408 | <1% | 379 | $138.26 | |
| 99423 | 0% | 28 | $0.00 | |
| 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% | 30 | $0.00 |
| H0036 | Community psychiatric support and treatment, per 15 minutes | 0% | 54 | $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 officialSTOW, JORDAN (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Recovery Centers of Montana LLC | Columbia Falls, MT | $21.72M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.