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

Why is the Medicaid comparison limited to Colorado 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. Colorado (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 Counseling And Wellness (NPI 1740916048)

Field	Value
Entity Type	Organization
Organization	Sunrise Counseling And Wellness
Address	5455 N Union Blvd
City	Colorado Springs
State	CO
ZIP	80918
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	July 28, 2022

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	15,010	$120	$1.7M
H0023	Alcohol and/or drug outreach	8,840	$90	$751.6K
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…	6,110	$100	$604.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,970	$100	$302.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	4,430	$50	$208.4K
H0006	Alcohol and/or drug services; case management	7,560	$20	$128.5K
H0032	Mental health service plan development by non-physician	990	$30	$33.7K
H0001	Alcohol and/or drug assessment	260	$90	$22.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	180	$110	$18.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	270	$60	$15.6K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Sunrise Counseling And Wellness — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	225	280	2,330	$210	$4.8M
T1017	Targeted case management, each 15 minutes	247	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	7	140	870	$150	$457.7K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9	50	480	$170	$282.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	171	290	480	$70	$280.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	47	170	940	$60	$276.5K
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…	2,154	2,630	430	$90	$268.2K
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…	137	1,670	550	$100	$229.3K
H0034	Medication training and support, per 15 minutes	28	40	160	$70	$200.4K
H0023	Alcohol and/or drug outreach	18	190	360	$60	$163.1K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheyenne Village, Inc.	CO	Homemaker	$0	$43.3M
Carmel Community Living Corporation	CO	Developmentally Disabled Services Day Training Agency	$0	$26.8M
Disability Services, Inc	CO	In Home Supportive Care Agency	$0	$24.9M
Circles Of Love Bible Church	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$23.7M
Rocky Mountain Medical Equipment LLC	CO	Oxygen Equipment & Supplies (DME)	$0	$15.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$13.6M
Colorado Treatment Services LLC	CO	Substance Use Disorder Rehabilitation Clinic/Center	$218.1K	$12.9M
Akvc North LLC	CO	Medical Specialty Clinic/Center	$0	$11.6M
Kind Heart Home Health Care	CO	Home Health Agency	$0	$8.8M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.3M

Sunrise Counseling And Wellness — Billing Profile & Reimbursement Data

Sign up for Sunrise Counseling And Wellness — Billing Profile & Reimbursement Data policy alerts

Sunrise Counseling And Wellness — Billing Profile & Reimbursement Data

Sign up for Sunrise Counseling And Wellness — 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