Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › GA › Athens › NPI 1396173159
Agency

Heavenly Sunshine Health

Heavenly Sunshine Health was paid $3.27M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 91% of everything it billed.

33Billing provider infoHEAVENLY SUNSHINE HEALTH
ATHENS, GA 30605
33aNPI1396173159assigned 10/14/2013
33bProvider typeNursing Care Agency
28Total paid$3.27M
24GClaims4,425
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nursing Care Agency providers in Georgia

Rank by total paid#4 of 6
Median peer was paid$3.27M
This provider vs. median1.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration91% of spending on code T1020 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2018433$344K
2019484$428K
2020431$367K
2021689$464K
2022684$513K
2023749$536K
2024incomplete955$616K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1020 Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 91% 3,438 2,061 $2.96M
S5102 Adult day care, billed per dayDay care services, adult; per diem 9.4% 987 627 $308K

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 officialGRESHAM, SABINA (DIRECTOR/OWNER)