Agency
Sunset Retirement Communities, INC
Sunset Retirement Communities, INC was paid $2.47M by Medicaid between May 2022 and Nov 2024, across 1 billing code. Its largest line is T2046, Hospice long term care, room and board only; per diem — 100% of everything it billed.
33Billing provider infoSUNSET RETIREMENT COMMUNITIES, INC
TOLEDO, OH 43606
TOLEDO, OH 43606
33aNPI1497900088assigned 11/24/2008
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$2.47M
24GClaims13,224
24DCodes billed1
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in Ohio
Rank by total paid#72 of 122
Median peer was paid$3.46M
This provider vs. median0.7×
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 Concentration100% of spending on code T2046 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2022 | 627 | $93K | |
| 2023 | 6,426 | $998K | |
| 2024incomplete | 6,171 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 100% | 13,224 | 436 | $2.47M |
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 officialBISHOP, JUDITH (V.P. OF OPERATIONS)
Parent organizationSUNSET RETIREMENT COMMUNITES, INC