Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSunapee Dialysis LLC
    Ask Trek AI about this page

    Sunapee Dialysis LLC — Billing Profile & Reimbursement Data

    NPI 1063880854 · Saint Cloud, FL · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

    Customize your policy alerts

    Sign up for Sunapee Dialysis LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sunapee Dialysis LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Saint Cloud, Florida. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSunapee Dialysis LLC
    Address4750 Old Canoe Creek Rd
    CitySaint Cloud
    StateFL
    ZIP34769
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedSeptember 10, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)33,730$100$3.3M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.31,360$100$3.1M
    J1270Injection, doxercalciferol, 1 mcg17,940$90$1.6M
    J1756Injection, iron sucrose, 1 mg11,280$80$947.4K
    A4657Syringe, with or without needle, each4,890$150$738.4K
    85048The lab analyst evaluates a sample of the patient’s blood on a slide and uses an automated system to determine the number of white blood cells present.1,480$120$173.5K
    85041The lab analyst analyzes a sample of the patient’s blood on a slide and uses an automated system to determine the number of red blood cells present.1,570$110$172.9K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.1,390$120$164.8K
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.990$110$108.9K
    83550The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…990$110$108.9K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)2518015,540$120$2.1M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.4746012,420$140$2M
    J1270Injection, doxercalciferol, 1 mcg332007,800$120$1.1M
    A4657Syringe, with or without needle, each1334002,640$160$771K
    J1756Injection, iron sucrose, 1 mg33901,800$100$279.4K
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)157230850$160$183.3K
    85041The lab analyst analyzes a sample of the patient’s blood on a slide and uses an automated system to determine the number of red blood cells present.44180860$90$116.6K
    85048The lab analyst evaluates a sample of the patient’s blood on a slide and uses an automated system to determine the number of white blood cells present.52180880$100$113.6K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.94460510$50$110.2K
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.246620690$30$82.3K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sunapee Dialysis LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dva Renal Healthcare IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$37.1M
    Sunapee Dialysis LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$17.4M
    Sunapee Dialysis LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.9M
    Clermont Dialysis Center, LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.4M
    Isd Renal IncMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.7M
    Isd Renal IncMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    Total Renal Care IncSDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2M
    Dva Renal Healthcare IncCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.8M
    Rcg Oxford Home Therapies, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M

    Nearby Providers

    Other providers in the same ZIP code as Sunapee Dialysis LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bishop Grady VillasFLAssisted Living Facility$0$8.3M
    Naga Lakshmana NidadavoluFLNeuromuscular Medicine (Psychiatry & Neurology) Physician$523.5K$825.7K
    Patrick FisherFLCardiovascular Disease Physician$494.4K$0
    Ly NguyenFLOphthalmology Physician$240.8K$44.7K
    Sharanna JohnsonFLAdult Health Nurse Practitioner$124.9K$0
    Pawel ZelenskiFLInternal Medicine Physician$82.9K$0
    Rodolfo AldirFLCardiovascular Disease Physician$63.3K$0
    Japhet GaztambideFLPsychiatry Physician$24.2K$0
    Ulises Garcia SanchezFLGeneral Practice Physician$18.7K$50
    Juliuscaesar LicongFLPhysical Therapist$15.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Florida Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Sunapee Dialysis LLC — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida