SUNRISE OPPORTUNITIES
NPI: 1972666337
· EASTPORT, ME 04631
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 12/18/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H0019 with only 3 total codes billed. Highly concentrated billing profile.
$9.89M
Total Medicaid Paid
Provider Details
| Authorized Official | CASTON, CHRISTOPHER (BILLING MANAGER) |
| NPI Enumeration Date | 12/18/2006 |
Related Entities
Other providers sharing the same authorized official: CASTON, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
893 |
$1.24M |
| 2019 |
835 |
$1.16M |
| 2020 |
1,005 |
$1.45M |
| 2021 |
882 |
$1.35M |
| 2022 |
904 |
$1.44M |
| 2023 |
1,275 |
$1.61M |
| 2024 |
1,458 |
$1.64M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
6,066 |
1,161 |
$9.39M |
| T1020 |
Personal care services, per diem, 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) |
1,163 |
247 |
$502K |
| Q3014 |
Telehealth originating site facility fee |
23 |
13 |
$396.50 |