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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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 Of Virginia, Inc. (NPI 1659389849)

Field	Value
Entity Type	Organization
Organization	Sunrise Community Of Virginia, Inc.
Address	4085 Chain Bridge Rd
City	Fairfax
State	VA
ZIP	22030
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$51.3M
Medicare	$0

Key Findings

SUNRISE COMMUNITY OF VIRGINIA, INC. in FAIRFAX, VA is effectively a Medicaid-centered operator with $51.3M in lifetime Medicaid revenue on file and no Medicare billing recorded; this makes the entity single-payer in practice for federal programs and reliant on state Medicaid flows for its entire reported public revenue stream.

Revenue is highly concentrated: the top three Medicaid codes (H2022, T2033, H2014) account for 93.2% of the provider's total Medicaid revenue, signaling that a very small set of service lines drives nearly all reported Medicaid payments.

The coding mix — H2022 (Community-based wrap-around services, per diem), T2033 (Residential care, nos, waiver; per diem), and H2014 (Skills training and development, per 15 minutes) — points to a core operation providing residential care and habilitation: daily residential/per-diem placement plus billed skills-training units, consistent with an Intellectual and/or Developmental Disabilities Residential Treatment Facility taxonomy.

Average paid-per-claim levels are substantial for the top residential and wrap-around services: H2022 shows an avg paid/claim of $9240, T2033 $9045, H2014 $4291, and T2032 $2515, indicating material per-diem and per-claim revenue per placement or service event rather than low-dollar episodic claims. These amounts suggest a business model weighted toward higher-acuity, longer-stay residential placements and bundled wrap-around payments.

State-level competitive standing is modest overall: H2022 ranks #83 of 136 providers (39th percentile) and H2014 ranks #45 of 73 (39th percentile), both labeled as typical/unremarkable volumes; T2033 is #31 of 43 (29th percentile) and likewise typical. The provider is not a dominant statewide player on its highest-volume codes, though it does show a relatively stronger position on T2032 (residential, per month) where it ranks #2 of 4 providers (67th percentile), indicating a niche advantage in that narrowly populated billing category.

The provider has an established NPI tenure, enumerated on 2006-08-03 (~20 years ago), which supports interpretation of these patterns as the result of a long-standing service footprint rather than a nascent operation. Sustained enrollment over two decades makes the observed concentration in a few Medicaid codes a structural feature rather than a short-term anomaly.

Because top-line Medicaid receipts are tightly concentrated in a few per-diem and habilitation codes, the provider’s financial exposure is sensitive to Medicaid rate or policy changes affecting H2022, T2033, and H2014; given the absence of Medicare revenue, any state-level payment adjustments could materially alter overall revenue. Analysts should prioritize monitoring Medicaid policy and reimbursement updates for wrap-around and residential waiver lines.

The mix of per-diem codes (H2022, T2033), a per-month residential code (T2032), and time-interval habilitation code (H2014) indicates the provider bills for both room-and-board-style placements and billed training units, implying operational capabilities in residential care, day habilitation, and individualized skills training rather than purely outpatient or episodic services. This blended service profile aligns with its Intellectual and/or Developmental Disabilities Residential Treatment Facility taxonomy and the high avg paid/claim figures reported.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	2,840	$9,240	$26.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1,650	$9,050	$14.9M
H2014	Skills training and development, per 15 minutes	1,550	$4,290	$6.7M
T2032	Residential care, not otherwise specified (nos), waiver; per month	1,380	$2,520	$3.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Sunrise Community Of Virginia, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	31	40	6,080	$1,660	$27.6M
H2022	Community-based wrap-around services, per diem	83	140	4,450	$1,150	$15.3M
H2014	Skills training and development, per 15 minutes	45	70	2,500	$1,380	$7M
T2032	Residential care, not otherwise specified (nos), waiver; per month	2	10	910	$2,180	$2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premium Care Usa LLC	VA	In Home Supportive Care Agency	$0	$47.9M
Chimes Virginia, Inc.	VA	Intellectual & Developmental Disabilities Psychologist	$0	$35.5M
Nova Home Health Care, LLC	VA	Home Health Agency	$0	$35.3M
Mental Health Services En Espanol LLC	VA	Assistant Behavior Analyst	$0	$22.9M
Kahak Va, Inc.	VA	Home Health Agency	$0	$22.2M
Director Of Finance-county Of Fairfax Va	VA	Early Intervention Provider Agency	$0	$19.9M
Sagun Home Care Inc	VA	Home Health Agency	$0	$18.8M
Alliance Nurses For Home Health And Wellness, L.L.C.	VA	Home Health Agency	$0	$16.4M
Pediatric Services Of America, LLC	VA	Nursing Care Agency	$0	$12.1M
Nirmal Enterprises	VA	Home Health Agency	$0	$10.2M

Sunrise Community Of Virginia, Inc. — Billing Profile & Reimbursement Data

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Sunrise Community Of Virginia, 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