Clinic
Sunshine Mental Wellness INC
Sunshine Mental Wellness INC was paid $74K by Medicaid between Mar 2020 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoSUNSHINE MENTAL WELLNESS INC
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1245889609assigned 09/09/2019
28Total paid$74K
24GClaims2,804
24DCodes billed6
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Alabama
Rank by total paid#9 of 26
Median peer was paid$29K
This provider vs. median2.6×
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 | 400 | $7K | |
| 2021 | 1,152 | $26K | |
| 2022 | 955 | $29K | |
| 2023 | 272 | $11K | |
| 2024incomplete | 25 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 1,948 | 1,745 | $42K |
| 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 | 33% | 616 | 562 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 8.4% | 133 | 123 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 75 | 73 | $917.60 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12 | 12 | $287.64 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 20 | 14 | $249.60 |
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 officialGRAHAM, LAURA (PRESIDENT/OWNER)