Agency
Sun Behavioral Delaware, LLC
Sun Behavioral Delaware, LLC was paid $364K by Medicaid between Nov 2018 and Nov 2024, across 10 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 37% of everything it billed.
33Billing provider infoSUN BEHAVIORAL DELAWARE, LLC
GEORGETOWN, DE 19947
GEORGETOWN, DE 19947
33aNPI1891213179assigned 09/06/2017
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$364K
24GClaims13,929
24DCodes billed10
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Delaware
Rank by total paid#7 of 22
Median peer was paid$124K
This provider vs. median2.9×
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 | 423 | $0.00 | |
| 2019 | 2,983 | $27K | |
| 2020 | 1,302 | $37K | |
| 2021 | 2,802 | $63K | |
| 2022 | 2,557 | $103K | |
| 2023 | 1,626 | $41K | |
| 2024incomplete | 2,236 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 37% | 9,153 | 2,809 | $134K |
| 99221 | 17% | 1,239 | 1,143 | $61K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 788 | 245 | $38K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.7% | 748 | 694 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.8% | 1,261 | 1,146 | $32K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 8.7% | 121 | 12 | $32K |
| S9480 | Intensive outpatient psychiatric services, per diem | 5.6% | 106 | 13 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 443 | 243 | $8K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 56 | 53 | $3K |
| 99223 | Prolong inpt eval add15 m | 0% | 14 | 14 | $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 officialROURKE, TOM (SENIOR VICE PRESIDENT CORPORATE DEV)
| Provider | Location | Paid |
|---|---|---|
| Sun Houston, LLC | Houston, TX | $1.93M |
| Northern Kentucky Behavioral, LLC | Erlanger, KY | $1.31M |
| Sun Behavioral Delaware, LLC | Georgetown, DE | $444K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.