Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNSHINECHILDRENSHOMEINC

NPI: 1710002761 · CARTHAGE, MO 64836 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/20/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2016 with only 2 total codes billed. Highly concentrated billing profile.

$7.56M
Total Medicaid Paid
29,291
Total Claims
1,107
Beneficiaries
2
Codes Billed
2019-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialYORK, BILL (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,509 $680K
2020 5,384 $1.08M
2021 5,441 $1.19M
2022 4,645 $1.26M
2023 5,640 $1.60M
2024 4,672 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 28,893 936 $7.54M
T1002 Rn services, up to 15 minutes 398 171 $19K