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 Community Health (NPI 1902005382)

Sunrise Community Health is a federally qualified health center (fqhc) provider located in Loveland, Colorado. This profile covers 0 Medicare and 76 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sunrise Community Health
Address	302 3rd St Se Ste 150
City	Loveland
State	CO
ZIP	80537
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 16, 2007

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	47,070	$170	$7.8M
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…	16,340	$170	$2.7M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	9,060	$170	$1.5M
D0999	N/A	830	$230	$191K
99203	The provider sees a new 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 provider…	580	$180	$101.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	400	$170	$68.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	350	$180	$61.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	250	$170	$40.8K
99204	The provider sees a new 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 provider…	150	$190	$28.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	130	$160	$20.6K

Showing 1–10 of 76

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 Community Health — 3 of 25 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	104	150	2,140	$260	$2M
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…	36	2,520	330	$100	$352K
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…	111	2,630	430	$90	$268.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	134	240	550	$110	$208.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	136	260	380	$100	$161.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	690	140	$90	$118.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	127	290	160	$110	$111.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	405	420	290	$90	$90.4K
D2391	Resin‑based composite – one surface, posterior	463	530	200	$100	$83.5K
D1120	Prophylaxis–child	586	690	300	$30	$82.1K

Showing 1–10 of 76

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoplecare Of Northern Colorado, LLC	CO	In Home Supportive Care Agency	$0	$13.9M
Total Longterm Care, Inc.	CO	PACE Provider Organization	$0	$6.8M
The Dental Team Of Loveland	CO	General Practice Dentistry	$0	$5.8M
Family Caregiver Agency LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.5M
Horizon Laboratory LLC	CO	Clinical Medical Laboratory	$966.9K	$91.7K
Loveland Endoscopy Center, LLC	CO	Ambulatory Surgical Clinic/Center	$879.3K	$300
Lewis Strong	CO	Gastroenterology Physician	$357.1K	$0
Crystal North	CO	Gastroenterology Physician	$353.2K	$0
Daniel Langer	CO	Gastroenterology Physician	$310.1K	$0
Holly Mccoppin	CO	Dermatology Physician	$297K	$0

Sunrise Community Health — Billing Profile & Reimbursement Data

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Sunrise Community Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$26.8M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$13M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$10.8M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$6.7M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$4.2M
Sunny Henrion	CO	Physician Assistant	$62.7K	$0
Heidi Barron	CO	Physician Assistant	$8.1K	$0
Steven Ponicsan	CO	Physician Assistant	$6.3K	$0
Dennise Salazar	GU	Physician Assistant	$260	$0