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

Why is the Medicaid comparison limited to Maine 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. Maine (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 Opportunities (NPI 1285797696)

Field	Value
Entity Type	Organization
Organization	Sunrise Opportunities
Address	21 Calais Ave
City	Calais
State	ME
ZIP	04619
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	14,250	$250	$3.6M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Sunrise Opportunities — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	33	70	13,340	$200	$5.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Calais	ME	Local Education Agency (LEA)	$0	$7M
Discovery House Wc, Inc.	ME	Methadone Clinic	$109.5K	$5.7M
Calais Community Hospital	ME	Rural Health Clinic/Center	$0	$3.1M
Calais Community Hospital	ME	Critical Access Hospital	$0	$1.8M
City Of Calais	ME	Land Ambulance	$235.6K	$1M
St Croix Regional Family Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$921.1K
Sunrise Eye Care PA	ME	Optometrist	$0	$409K
Wal-mart Stores East LP	ME	Community/Retail Pharmacy	$108.6K	$700
Carina Orcutt	ME	Optometrist	$44K	$0
Jennifer Kehrer	ME	Optometrist	$42.7K	$0

Sunrise Opportunities — Billing Profile & Reimbursement Data

Sign up for Sunrise Opportunities — Billing Profile & Reimbursement Data policy alerts

Sunrise Opportunities — Billing Profile & Reimbursement Data

Sign up for Sunrise Opportunities — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References