Clinic
Sunshine Community Health Center, INC
Sunshine Community Health Center, INC was paid $227K by Medicaid between Jan 2021 and Oct 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSUNSHINE COMMUNITY HEALTH CENTER, INC
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1932712882assigned 08/28/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$227K
24GClaims1,498
24DCodes billed8
24AFirst – last monthJan 2021 – Oct 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Alaska
Rank by total paid#10 of 15
Median peer was paid$1.20M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 509 | $62K | |
| 2022 | 989 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 332 | 287 | $92K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 39% | 473 | 440 | $90K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 9.9% | 515 | 475 | $22K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.7% | 19 | 13 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.2% | 16 | 15 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 27 | 27 | $5K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.3% | 49 | 49 | $3K |
| 36415 | Collection of venous blood by venipuncture | 0% | 67 | 65 | $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 officialWEST, MELODY (CHIEF EXECUTIVE OFFICER)
Parent organizationSUNSHINE COMMUNITY HEALTH CENTER, INC