Sunset Community Mental Health

Sunset Community Mental Health was paid $4.31M by Medicaid between Jul 2019 and Jan 2022, across 5 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 89% of everything it billed.

33Billing provider infoSUNSET COMMUNITY MENTAL HEALTH
MIAMI, FL 33173

33aNPI1467936609assigned 09/24/2018

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$4.31M

24GClaims44,027

24DCodes billed5

24AFirst – last monthJul 2019 – Jan 2022

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Florida

Rank by total paid#25 of 249

Median peer was paid$293K

This provider vs. median15×

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
2019	2,507	$342K
2020	19,073	$1.95M
2021	22,423	$2.01M
2022	24	$158.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	89%	31,783	2,943	$3.86M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	10%	11,465	761	$438K
H0031	Mental health assessment, by non-physician	<1%	448	225	$11K
H0032	Mental health service plan development by non-physician	<1%	164	154	$5K
99335		<1%	167	129	$158.40

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 officialLINARES, GLADYS (PRESIDENT)