Agency
Sunset Home Health Services INC.
Sunset Home Health Services INC. was paid $21.97M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 83% of everything it billed.
33Billing provider infoSUNSET HOME HEALTH SERVICES INC.
CAPE CORAL, FL 33904
CAPE CORAL, FL 33904
33aNPI1730498643assigned 09/27/2010
33bProvider typeHome Health Agency
28Total paid$21.97M
24GClaims82,060
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Florida
Rank by total paid#53 of 904
Median peer was paid$933K
This provider vs. median24×
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 | 3,359 | $116K | |
| 2019 | 3,865 | $117K | |
| 2020 | 4,467 | $227K | |
| 2021 | 8,866 | $1.15M | |
| 2022 | 15,087 | $4.58M | |
| 2023 | 22,180 | $7.14M | |
| 2024incomplete | 24,236 | $8.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 83% | 20,099 | 912 | $18.20M |
| T1004 | Services of a qualified nursing aide, up to 15 minutes | 7.6% | 20,551 | 1,191 | $1.67M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 5.1% | 26,558 | 2,228 | $1.12M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, 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) | 3.4% | 12,185 | 699 | $745K |
| T1030 | Nursing care, in the home, by registered nurse, per diem | <1% | 2,111 | 527 | $197K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 420 | 150 | $31K |
| 97161 | <1% | 74 | 71 | $4K | |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 62 | 39 | $0.00 |
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 officialDELGADO, YAIMA (CEO)