Managed care
Sundara NPHC
Sundara NPHC was paid $2.55M by Medicaid between Oct 2019 and Nov 2024, across 2 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 86% of everything it billed.
33Billing provider infoSUNDARA NPHC
MARQUETTE, MI 49855
MARQUETTE, MI 49855
33aNPI1538481072assigned 02/25/2010
33bProvider typeExclusive Provider Organization
28Total paid$2.55M
24GClaims9,884
24DCodes billed2
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Michigan
Rank by total paid#3 of 9
Median peer was paid$1.02M
This provider vs. median2.5×
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 | 595 | $89K | |
| 2020 | 773 | $257K | |
| 2021 | 2,107 | $407K | |
| 2022 | 2,030 | $548K | |
| 2023 | 2,414 | $596K | |
| 2024incomplete | 1,965 | $653K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 86% | 4,944 | 779 | $2.19M |
| 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) | 14% | 4,940 | 779 | $359K |
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 officialMARTIN, CHRISTINE (OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| University of Washington | Seattle, WA | $21.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.