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

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Sun Life Family Health Center, Inc. (NPI 1689778623)

Field	Value
Entity Type	Organization
Organization	Sun Life Family Health Center, Inc.
Address	865 N Arizola Rd
City	Casa Grande
State	AZ
ZIP	85122
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$76.7M
Medicare	$0

Key Findings

SUN LIFE FAMILY HEALTH CENTER, INC. is effectively a Medicaid-centric provider: there is no Medicare billing on file and the provider reports $76.7M in lifetime Medicaid revenue, indicating a near-exclusive reliance on Medicaid as its payer base. This profile is consistent with its FQHC taxonomy and the service mix reported.

Revenue is extremely concentrated in a single encounter code: the top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1015 alone representing $76.5M or 99.7% of that total. This concentration implies that the provider's financial performance is driven almost entirely by all-inclusive clinic/encounter payments.

The code mix and claim volumes point to a high-volume primary care and community health operation: T1015 (394.1K claims) is the dominant revenue driver and is described as a clinic visit/encounter, while high counts for 99214 (60.7K claims) and several well-patient codes (for example, 99397 and 99396) signal routine primary care, preventive, and chronic-care management activity. Additionally, the presence of 59409 (116 claims, $105.2K) indicates some obstetric/labor-and-delivery services are performed but at a much smaller scale relative to routine clinic encounters.

On competitive standing within Arizona, SUN LIFE is a major statewide player for several high-volume codes: T1015 ranks #5 of 357 providers in-state (99th percentile; notably above typical state volume), and 99214 ranks #61 of 3041 providers (98th percentile; notably above typical state volume). By contrast, 59409 sits at #6 of 20 (74th percentile), which is more typical and not a primary competitive advantage for the organization.

The provider shows long tenure in the market: the NPI was enumerated on 2006-09-11 (~20 years ago), indicating an established presence as an FQHC in Casa Grande that likely underpins steady patient panels and sustained Medicaid contracting relationships. This longevity aligns with the large cumulative encounter volumes observed.

Several high-volume codes with $0 avg paid/claim and $0 revenue are reported at extreme volumes relative to peers (for example, 3008F: 54.2K claims, rank #4 of 243, 99th percentile; 1159F: 45.5K claims, rank #4 of 262, 99th percentile; 3074F: 32.4K claims, rank #5 of 279, 99th percentile). These patterns are consistent with extensive use of measure, reporting, or non-fee-eligible encounter codes that do not generate discrete Medicaid payments, suggesting the provider heavily records quality/measure or bundled encounter data alongside paid service claims.

Operationally, the heavy reliance on T1015 (an all-inclusive clinic visit/encounter) means the organization’s revenue sensitivity is tied to encounter volume and how those encounters are reimbursed or bundled by Medicaid; any changes in state encounter rates, bundling policy, or patient visit patterns could have outsized financial impact. Diversification into higher-paid individual procedure lines appears limited based on the current revenue mix.

Medicaid: Complete Services Breakdown

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

186 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	394,140	$190	$76.5M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	120	$910	$105.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60,680	$1	$60.7K
99397	The provider performs an established well–patient visit for a patient who is 65 years or older.	70	$120	$8.5K
T1016	Case management, each 15 minutes	670	$10	$7.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,720	$1	$5.4K
0012A	N/A	590	$10	$3.5K
0011A	N/A	570	$1	$2.3K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	290	$1	$860
0071A	N/A	60	$1	$60

Showing 1–10 of 186

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Sun Life Family Health Center, Inc. — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

186 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	761	1,160	2,110	$30	$1.2M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	87	400	200	$120	$403K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	61	3,040	750	$50	$343.9K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	6	20	60	$890	$339.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	42	2,780	600	$50	$267K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	100	140	580	$70	$251.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	49	110	440	$90	$208.3K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	43	420	600	$30	$177K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	44	110	540	$50	$167.5K

Showing 1–10 of 186

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sun Life Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$12.9M
Deepak Nayyar	AZ	Family Medicine Physician	$8.6K	$0
Claudia Symmonds	AZ	Family Nurse Practitioner	$3.3K	$0
Francisco Amaya-pinto	AZ	Family Medicine Physician	$740	$0

Nearby Providers

Other providers in the same ZIP code as Sun Life Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Ambulance Of Casa Grande, Inc.	AZ	Land Ambulance	$2M	$59M
Banner Health	AZ	General Acute Care Hospital	$0	$55M
Helping Associates Inc	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.8M
Banner Urgent Care Arizona LLC	AZ	Urgent Care Clinic/Center	$0	$10.6M
Bhsm Rehabilitation LLC	AZ	Physical Therapy Clinic/Center	$0	$10.3M
Corazon Inc.	AZ	Mental Health Counselor	$0	$9.8M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.8M
Robert Mcdonald	AZ	Diagnostic Radiology Physician	$7.5M	$0
Fc Ranger Ops Garnet Of Casa Grande (az), LLC	AZ	Assisted Living Facility	$0	$6.8M
Rehema Outpatient Treatment Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.6M

Sun Life Family Health Center, Inc. — Billing Profile & Reimbursement Data

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Sun Life Family Health Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References