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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Clinical Associates, PLLC (NPI 1811291115)

Field	Value
Entity Type	Organization
Organization	Sunrise Clinical Associates, PLLC
Address	3925 N Duke St Ste 103
City	Durham
State	NC
ZIP	27704
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 29, 2010

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	26,210	$240	$6.4M
H2015	Comprehensive community support services, per 15 minutes	26,070	$210	$5.4M
H0038	Self‑help/peer services, per 15 minutes	17,210	$110	$1.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	21,720	$80	$1.8M
T1017	Targeted case management, each 15 minutes	2,120	$250	$535.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,900	$230	$438.2K
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…	2,310	$80	$178K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Sunrise Clinical Associates, PLLC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	30	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	60	250	10,060	$130	$2.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	55	140	17,630	$80	$1.8M
H0038	Self‑help/peer services, per 15 minutes	52	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	87	220	1,700	$150	$1.3M
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…	500	1,710	810	$80	$274.5K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	9	90	220	$220	$121K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergeortho PA	NC	Orthopaedic Surgery Physician	$0	$20.9M
Private Diagnostic Clinic, PLLC	NC	Pediatrics Physician	$0	$17.5M
County Of Durham Finance Dept	NC	Land Ambulance	$2.4M	$11.3M
Rapha Healthcare Services,llc	NC	Multi-Specialty Clinic/Center	$0	$13.6M
Php Of Nc, Inc	NC	Developmentally Disabled Services Day Training Agency	$0	$12.7M
Bayada Home Health, Care, Inc.	NC	Home Health Agency	$0	$11.6M
Duke University Health System, Inc.	NC	General Acute Care Hospital	$0	$11.6M
Duke University Health System, Inc.	NC	Parenteral & Enteral Nutrition Supplies (DME)	$0	$8.3M
Duke University Health System, Inc.	NC	Internal Medicine Physician	$0	$7.6M
Associated Health Services, Inc.	NC	Ambulatory Surgical Clinic/Center	$1.6M	$102.4K

Sunrise Clinical Associates, PLLC — Billing Profile & Reimbursement Data

Sign up for Sunrise Clinical Associates, PLLC — Billing Profile & Reimbursement Data policy alerts

Sunrise Clinical Associates, PLLC — Billing Profile & Reimbursement Data

Sign up for Sunrise Clinical Associates, PLLC — 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