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 Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Centre Inc (NPI 1235297623)

Field	Value
Entity Type	Organization
Organization	Sunrise Centre Inc
Address	630 Walnut Street
City	Alpena
State	MI
ZIP	49707
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	10,340	$910	$9.4M
S9976	Lodging, per diem, not otherwise classified	12,590	$130	$1.6M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	530	$540	$288.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,250	$100	$125K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,190	$70	$84.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	520	$110	$58.4K
H0012	Behavioral health day treatment, per hour	90	$650	$57.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	510	$70	$34K
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	20	$960	$14.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	240	$50	$11.3K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Sunrise Centre Inc — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	54	70	3,240	$390	$4.7M
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	14	50	3,580	$380	$3.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	26	30	3,980	$460	$2.5M
H2011	Crisis intervention service, per 15 minutes	72	80	1,470	$310	$1.4M
S9976	Lodging, per diem, not otherwise classified	30	90	6,650	$60	$1M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	59	100	550	$120	$382.3K
H0012	Behavioral health day treatment, per hour	12	20	510	$520	$378K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,152	1,960	870	$100	$376.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	909	950	610	$80	$328.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	84	210	740	$70	$255.2K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Sunrise Centre Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Michigan Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$128.1M
Mymichigan Medical Center Alpena	MI	Rural Acute Care Hospital	$0	$21.2M
Northeast Michigan Community Service Agency, Inc.	MI	Case Management Agency	$0	$19.4M
Catholic Human Services Inc.	MI	Community/Behavioral Health Agency	$0	$8.2M
Northeast Michigan Home Health Care	MI	Home Health Agency	$0	$7.6M
City Of Alpena	MI	Land Ambulance	$428.6K	$1.2M
Mario Lacerna	MI	Radiation Oncology Physician	$715.7K	$0
David Dargis	MI	Family Medicine Physician	$455.5K	$73.9K
Rajabhau Chhapamohan	MI	Physical Therapist	$75.7K	$419.7K
Robert Currier	MI	Ophthalmology Physician	$445.9K	$0

Sunrise Centre Inc — Billing Profile & Reimbursement Data

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Sunrise Centre Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References