Agency
Sunshine House INC.
Sunshine House INC. was paid $357K by Medicaid between Apr 2024 and Nov 2024, across 4 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 60% of everything it billed.
33Billing provider infoSUNSHINE HOUSE INC.
STURGEON BAY, WI 54235
STURGEON BAY, WI 54235
33aNPI1700264488assigned 05/13/2015
33bProvider typeCase Management Agency
28Total paid$357K
24GClaims713
24DCodes billed4
24AFirst – last monthApr 2024 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Wisconsin
Rank by total paid#95 of 156
Median peer was paid$578K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 713 | $357K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 60% | 241 | 202 | $214K |
| S0215 | Non-emergency transportation; mileage, per mile | 16% | 178 | 174 | $58K |
| T2015 | Habilitation, prevocational, waiver; per hour | 15% | 117 | 111 | $54K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 8.7% | 177 | 175 | $31K |
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 officialHOFFMAN, LIZ (CONTROLLER)