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

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

Behavioral Health Specialists Sunrise Place (NPI 1922160969)

Field	Value
Entity Type	Organization
Organization	Behavioral Health Specialists Sunrise Place
Address	1900 Vicki Ln
City	Norfolk
State	NE
ZIP	68701
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $4.6M in lifetime Medicaid revenue, making its public payer footprint effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid operation. Analysts should treat Medicaid trends as representative of the provider’s entire recorded public revenue stream given the absence of Medicare activity.

Revenue is extremely concentrated: the precomputed top‑3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with H0018 alone representing the vast majority of receipts. The dominance of a single per‑diem residential code makes overall revenue highly dependent on utilization and reimbursement for that code.

H0018 (Behavioral health; short‑term residential, without room and board, per diem) is the primary service line, with 19.9K claims at $231 avg paid/claim and $4.6M revenue (99.8% of this provider's total Medicaid revenue). This pattern is consistent with operation as a short‑term residential substance abuse treatment facility rather than an outpatient clinic, matching the provider’s listed taxonomy as a Substance Abuse Rehabilitation Facility.

A small secondary activity is present under H0012 (sub‑acute detoxification, residential addiction program outpatient): 44 claims, $198 avg paid/claim, $8.7K revenue (0.2% of this provider's total Medicaid revenue). This represents a minor outpatient detoxification component relative to the dominant residential per‑diem business.

Competitive standing for the core service is strong in‑state: H0018 ranks #1 of 17 providers in Nebraska (100th percentile; notably above typical state volume for this code), indicating the provider is a statewide leader for short‑term residential behavioral health per‑diems. By contrast, H0012 ranks #3 of 4 providers in‑state (33th percentile; typical, unremarkable volume for this code), showing the provider is not a major player for that narrower service.

Operationally, the H0018 volume (19.9K claims) combined with the per‑claim average ($231) implies sustained daily residential utilization rather than episodic high‑value procedures; reviewers should interpret revenue trends as linked to bed‑day counts and length‑of‑stay dynamics. Any shifts in Medicaid per‑diem rates, authorization policies, or utilization management for residential treatment would likely have immediate effects on the provider’s topline.

The provider’s NPI was enumerated on 2006-12-15 (~20 years ago), indicating long tenure in the market which may support established referral relationships and capacity to sustain high per‑diem volumes. This longevity, paired with concentrated service delivery, suggests operational specialization in residential substance use treatment.

Given the heavy reliance on a single Medicaid code for nearly all revenue, the provider’s service mix appears narrowly focused with limited diversification into other Medicaid‑billable behavioral health services. For payers and contracting teams, this profile signals a concentrated counterparty where rate changes, policy shifts, or utilization reviews targeting H0018 would disproportionately affect the provider’s financial position.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	19,930	$230	$4.6M
H0012	Behavioral health day treatment, per hour	40	$200	$8.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Behavioral Health Specialists Sunrise Place — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	20	1,430	$580	$2.6M
H0012	Behavioral health day treatment, per hour	3	10	390	$220	$387.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Behavioral Health Specialists Sunrise Place, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Specialists, Inc Seekers Of Serenity Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Behavioral Health Specialists Inc	NE	Community/Behavioral Health Agency	$0	$1.3M

Nearby Providers

Other providers in the same ZIP code as Behavioral Health Specialists Sunrise Place, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midtown Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$10.1M
Faith Regional Health Services	NE	General Acute Care Hospital	$0	$7.3M
Faith Regional Physician Services, LLC	NE	Family Medicine Physician	$0	$5.5M
Children & Adoleseant Clinic PC	NE	Pediatrics Physician	$0	$4.3M
The Well Ne	NE	Substance Abuse Rehabilitation Facility	$0	$3.1M
Nmg LLC	NE	Family Medicine Physician	$0	$2.9M
Cor Therapeutic Services, LLC	NE	Mental Health Counselor	$0	$2.2M
Rabih Fahed	NE	Hematology & Oncology Physician	$2M	$0
Oasis Counseling International	NE	Mental Health Counselor	$0	$2M
Liberty Centre Services, Inc.	NE	Case Manager/Care Coordinator	$0	$1.6M

Behavioral Health Specialists Sunrise Place — Billing Profile & Reimbursement Data

Sign up for Behavioral Health Specialists Sunrise Place — Billing Profile & Reimbursement Data policy alerts

Behavioral Health Specialists Sunrise Place — Billing Profile & Reimbursement Data

Sign up for Behavioral Health Specialists Sunrise Place — Billing Profile & Reimbursement Data policy alerts

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