Agency
Sunshine Behavioral Health
Sunshine Behavioral Health was paid $11.74M by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 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 — 78% of everything it billed.
33Billing provider infoSUNSHINE BEHAVIORAL HEALTH
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
33aNPI1255750857assigned 04/10/2014
33bProvider typeCase Management Agency
28Total paid$11.74M
24GClaims175,094
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Washington
Rank by total paid#8 of 129
Median peer was paid$423K
This provider vs. median28×
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 | 2,818 | $0.00 | |
| 2019 | 14,766 | $243K | |
| 2020 | 31,129 | $1.93M | |
| 2021 | 28,720 | $2.34M | |
| 2022 | 27,981 | $2.58M | |
| 2023 | 34,409 | $2.47M | |
| 2024incomplete | 35,271 | $2.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 41,204 | 2,341 | $9.16M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 22% | 120,500 | 6,241 | $2.58M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 7,101 | 4,302 | $16.99 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 190 | 122 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 6,099 | 1,365 | $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 officialSIMPSON, RONALD (ADMINISTRATOR)
Parent organizationSUNSHINE HEALTH FACILITIES