Clinic
Sunrise Behavioral Health Clinic, LLC
Sunrise Behavioral Health Clinic, LLC was paid $19.08M by Medicaid between Jan 2018 and Sep 2019, across 15 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 37% of everything it billed.
33Billing provider infoSUNRISE BEHAVIORAL HEALTH CLINIC, LLC
SPRINGFIELD, MA 01103
SPRINGFIELD, MA 01103
33aNPI1538575295assigned 07/02/2014
28Total paid$19.08M
24GClaims211,138
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Massachusetts
Rank by total paid#14 of 72
Median peer was paid$1.85M
This provider vs. median10×
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 | 145,100 | $13.00M | |
| 2019 | 66,038 | $6.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 37% | 92,082 | 39,969 | $7.06M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 32% | 43,853 | 4,380 | $6.12M |
| T1027 | Family training and counseling for child development, per 15 minutes | 9.0% | 15,078 | 3,047 | $1.72M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.0% | 26,423 | 12,874 | $1.72M |
| 90882 | 3.2% | 9,193 | 4,791 | $602K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.0% | 8,605 | 7,397 | $574K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 2,782 | 2,426 | $325K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.7% | 3,701 | 2,367 | $323K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 3,114 | 2,943 | $177K |
| 99404 | <1% | 1,240 | 1,149 | $176K | |
| 90887 | <1% | 2,591 | 1,714 | $161K | |
| H0046 | Mental health services, not otherwise specified | <1% | 521 | 298 | $43K |
3 more codes
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 officialCARDONA, ERMELINDA (CLINICAL DIRECTOR)