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

Why is the Medicaid comparison limited to Florida 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. Florida (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 Community, Inc. (NPI 1588708648)

Field	Value
Entity Type	Organization
Organization	Sunrise Community, Inc.
Address	9040 Sw 72nd St
City	Miami
State	FL
ZIP	33173
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$89.9M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only entity: there is no Medicare billing on file and lifetime Medicaid revenue is $89.9M, so SUNRISE COMMUNITY, INC. is functionally single-payer with respect to fee-for-service billing in the dataset. With no Medicare activity reported, all utilization and competitive analysis should be focused on its Medicaid footprint.

Revenue is highly concentrated in a handful of codes: the precomputed top three Medicaid codes (T2023, S5102, T2016) account for 89.7% of the provider's total Medicaid revenue. In dollar terms those three codes are T2023 $56.2M (62.5%), S5102 $18.3M (20.4%), and T2016 $6.1M (6.8%), indicating a narrow set of service lines driving the vast majority of receipts.

The code mix indicates SUNRISE COMMUNITY, INC. operates primarily as a community-based residential and support services organization: T2023 (Targeted case management; per month) and S5102 (Day care services, adult; per diem) dominate revenue, with T2016 (Habilitation, residential, waiver; per diem) also material. This mix is consistent with intensive care coordination, adult day programming, and residential habilitation rather than inpatient medical or Medicare-style clinical services.

T2023 is a primary competitive strength and an outlier statewide: the provider reported $56.2M from T2023 (62.5% of Medicaid revenue), ranks #2 of 43 in-state, and is described as an "extreme outlier" (98th percentile). That combination of rank, revenue share, and the monthly case-management unit suggests market leadership in targeted case management for its service population.

Non-emergency transportation per diem (T2002) represents a secondary but notable outlier: while it contributes $1.1M (1.2% of Medicaid revenue), SUNRISE COMMUNITY, INC. ranks #1 of 110 providers in-state and is labeled an "extreme outlier" (100th percentile). This indicates the provider manages an unusually large share of per-diem transportation services compared with peers, which may reflect integrated transport operations tied to its residential and day-program model.

S5102 (Day care services, adult) is a substantial revenue source at $18.3M (20.4% of Medicaid revenue) with 26.5K claims, but the provider ranks #27 of 331 in-state and is described as a "typical, unremarkable volume" (92nd percentile). In other words, while S5102 is important to the business’ P&L, SUNRISE is not uniquely dominant in adult day care compared with a large set of in-state peers.

T2016 (Habilitation, residential, waiver) represents $6.1M (6.8% of Medicaid revenue) and ranks #5 of 7 in-state with a "typical, unremarkable volume" (33rd percentile), signaling the provider participates in residential habilitation but is not a leading state provider for that specific waiver line. Other ancillary codes (e.g., S5130, S5135, H2019) contribute smaller shares and generally sit in mid-to-high percentiles, supporting a broad operations footprint around homemaker, companion care, and therapeutic behavioral services.

The provider has longevity in the market — NPI enumerated 2007-02-20 (~19 years ago) — which, combined with $89.9M in Medicaid revenue and outsized T2023 and T2002 volumes, suggests established contracts and referral pathways with state programs. That same concentration creates operational and reimbursement risk: policy, authorization, or rate changes affecting targeted case management or transportation could materially affect overall revenue given the outsized dependence on a few codes.

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
T2023	Targeted case management; per month	14,690	$3,820	$56.2M
S5102	Day care services, adult; per diem	26,480	$690	$18.3M
T2016	Habilitation, residential, waiver; per diem	18,090	$340	$6.1M
S5130	Homemaker service, nos; per 15 minutes	40,050	$100	$4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	8,640	$140	$1.2M
T2002	Non-emergency transportation; per diem	9,010	$120	$1.1M
T2003	Non-emergency transportation; encounter/trip	55,330	$20	$885.3K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	14,460	$60	$882.2K
H2019	Therapeutic behavioral services, per 15 minutes	15,420	$50	$724.9K
H0043	Supported housing, per diem	8,120	$50	$405.9K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Sunrise Community, Inc. — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	10	49,730	$260	$18.3M
T2023	Targeted case management; per month	2	40	660	$3,920	$7.7M
S5130	Homemaker service, nos; per 15 minutes	238	1,070	11,250	$40	$1.3M
S5102	Day care services, adult; per diem	27	330	4,610	$110	$958K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	152	540	5,780	$40	$596.2K
H2019	Therapeutic behavioral services, per 15 minutes	197	1,880	1,010	$70	$544.5K
H0043	Supported housing, per diem	2	10	1,650	$170	$536.7K
T2003	Non-emergency transportation; encounter/trip	7	60	4,470	$30	$534.3K
T2021	Day habilitation, waiver; per 15 minutes	7	20	1,000	$70	$155.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	65	570	830	$30	$103.2K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Care Solutions, LLC	FL	Attendant Care Provider	$0	$25.1M
Neighborhood Home Health Services Inc.	FL	Home Health Agency	$0	$21.6M
Big Bear Academy	FL	Pediatric Skilled Nursing Facility	$0	$15.8M
Gentle Hands Health Care Services, Corp.	FL	Home Health Agency	$0	$14.3M
Progressive Life Homemaker & Companion, Inc	FL	In Home Supportive Care Agency	$0	$13M
Midway Home Care Agency, Inc.	FL	In Home Supportive Care Agency	$0	$11.3M
Allcare Nursing At Home Inc.	FL	In Home Supportive Care Agency	$0	$11M
Dade Family Counseling Community Mental Health Center, Inc	FL	Community/Behavioral Health Agency	$0	$9.7M
Allergy & Asthma Associates Of South Florida PA	FL	Allergy & Immunology Physician	$0	$9.7M
Elite Support Care, Inc.	FL	Home Health Agency	$0	$9.5M

Sunrise Community, Inc. — Billing Profile & Reimbursement Data

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Sunrise Community, Inc. — 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