Sunset Medical Network INC

Sunset Medical Network INC was paid $3.18M by Medicaid between Nov 2018 and Mar 2022, across 4 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoSUNSET MEDICAL NETWORK INC
MIAMI, FL 33173

33aNPI1922301894assigned 12/14/2010

33bProvider typeSocial Worker

28Total paid$3.18M

24GClaims27,179

24DCodes billed4

24AFirst – last monthNov 2018 – Mar 2022

Compared with peers

Next to other Social Worker providers in Florida

Rank by total paid#5 of 51

Median peer was paid$116K

This provider vs. median27×

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	671	$89K
2019	9,792	$1.34M
2020	10,451	$996K
2021	5,586	$677K
2022	679	$77K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	95%	24,546	1,793	$3.03M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	4.4%	2,237	642	$141K
H0032	Mental health service plan development by non-physician	<1%	129	128	$7K
H0031	Mental health assessment, by non-physician	<1%	267	165	$7K

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 officialBORRAJO, MARIA (PRESIDENT)