Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Vermont (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sunrise Family Resource Center (NPI 1053434100)

Field	Value
Entity Type	Organization
Organization	Sunrise Family Resource Center
Address	244 Union Street
City	Bennington
State	VT
ZIP	05201
Taxonomy	Social Worker
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Key Findings

SUNRISE FAMILY RESOURCE CENTER is effectively a single-payer provider: there is no Medicare billing on file and all reported government revenue is Medicaid, totaling $7M. This concentration makes Medicaid the sole material source of public-payer revenue in the dataset and means Medicaid reimbursement policy will largely determine observed topline trends.

Revenue is extremely concentrated in a very small set of services: the precomputed top three Medicaid codes account for 99.5% of the provider's Medicaid revenue, led by T1024 at $6.3M (90.4%), followed by T2023 at $512.3K (7.3%) and S9128 at $127.1K (1.8%). This concentration indicates that a handful of programmatic activities drive nearly all billed Medicaid dollars.

The code mix and dollar-weighted activity indicate a service model focused on coordinated care for children with complex needs: T1024 (integrated, specialty team encounters) is the dominant revenue driver with 12.2K claims and a $518 avg paid/claim totaling $6.3M, which strongly suggests the provider operates substantial multidisciplinary, coordinated-care programs for multiple or severely handicapped children.

T1024 places SUNRISE among the larger in-state providers for that service line: it ranks #2 of 14 in Vermont and sits at the 92th percentile. The dataset also characterizes the observed volume for T1024 as “typical, unremarkable volume for this code,” so while the provider is a leading state-level participant for T1024, the code itself has substantial activity across peers.

Other revenue-supporting codes show modest state standing: T2023 (Targeted case management; per month) generates $512.3K from 1.2K claims and ranks #3 of 9 (75th percentile), and S9128 (in‑home speech therapy) contributes $127.1K from 2.8K claims and ranks #3 of 20 (89th percentile). Both are characterized as typical, unremarkable volumes, which frames SUNRISE as a solid but not dominant statewide participant in these complementary service lines.

Several high-claim activity codes report $0 avg paid/claim and $0 reported revenue, which materially affects revenue interpretation: T1027 has 5.5K claims and is ranked #1 of 11 (100th percentile; notably above typical state volume), T1016 has 4.5K claims, T1017 has 1.8K claims, T1022 has 1.2K claims and 99366 has 507 claims, all with $0 avg paid/claim. These patterns suggest billing or reimbursement arrangements (contracted, bundled, non-fee-for-service, or reporting artifacts) that should be investigated before using claim counts alone to assess financial scale.

Operationally, the provider’s financial profile is highly sensitive to changes in reimbursement or program rules for a very small set of Medicaid services; with $6.3M tied to a single code (T1024) and $7M total Medicaid revenue, even modest rate or policy adjustments for these codes would have outsized effects on reported revenue. This dependence amplifies the importance of monitoring state-level policy and payer contracts affecting T1024 and related case-management services.

The entity has a long tenure in the data: the NPI was enumerated on 2007-04-06 (approximately 19 years ago), indicating an established presence in the Vermont market that aligns with the sustained, programmatic service lines reflected in the billing mix.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	12,240	$520	$6.3M
T2023	Targeted case management; per month	1,160	$440	$512.3K
S9128	Speech therapy, in the home, per diem	2,830	$50	$127.1K
H2000	Comprehensive multidisciplinary evaluation	40	$680	$29.4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	40	$60	$2.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	40	$20	$570
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	510	$0	$0
T1016	Case management, each 15 minutes	4,450	$0	$0
T1017	Targeted case management, each 15 minutes	1,750	$0	$0
T1027	Family training and counseling for child development, per 15 minutes	5,450	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

Claims Volume vs. Vermont Distribution

Sunrise Family Resource Center — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	2	10	7,720	$560	$4.2M
T2023	Targeted case management; per month	3	10	870	$390	$292.1K
T1027	Family training and counseling for child development, per 15 minutes	1	10	2,700	$80	$213.5K
T1017	Targeted case management, each 15 minutes	9	20	1,580	$30	$102.9K
S9128	Speech therapy, in the home, per diem	3	20	350	$60	$58.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	50	60	390	$40	$56.1K
T1016	Case management, each 15 minutes	18	40	3,900	$1	$31.1K
H2000	Comprehensive multidisciplinary evaluation	11	20	50	$50	$24.3K
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	2	10	300	$30	$17.9K
T1022	Contracted home health agency services, all services provided under contract, per day	3	10	760	$10	$13.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Sunrise Family Resource Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
Savida Health, PC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$12M
Seall Inc	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$6.6M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Brookside Pediatrics & Adolescent Medicine PLLC	VT	Pediatrics Physician	$0	$1.2M

Sunrise Family Resource Center — Billing Profile & Reimbursement Data

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Sunrise Family Resource Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References