Sunset Community Health Center INC
Sunset Community Health Center INC was paid $167K by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
SAN LUIS, AZ 85349
Next to other General Practice Dentistry providers in Arizona
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 680 | $35K | |
| 2021 | 1,430 | $131K | |
| 2022 | 283 | $235.83 | |
| 2023 | 234 | $817.31 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 733 | 673 | $165K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 406 | 348 | $1K |
| 0011A | <1% | 206 | 111 | $440.44 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 221 | 195 | $262.29 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 321 | 285 | $61.80 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 106 | 101 | $51.33 |
| 99173 | <1% | 18 | 18 | $2.89 | |
| 1003F | 0% | 30 | 29 | $0.00 | |
| 96158 | 0% | 18 | 18 | $0.00 | |
| 1159F | 0% | 53 | 50 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 18 | 18 | $0.00 |
| 1158F | 0% | 63 | 63 | $0.00 |
6 more codes
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 0% | 222 | $0.00 |
| 91301 | 0% | 67 | $0.00 | |
| 0012A | 0% | 78 | $0.00 | |
| 92551 | 0% | 19 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 21 | $0.00 |
| 1220F | 0% | 27 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Sunset Community Health Center INC | Yuma, AZ | $82.35M |
| Sunset Community Health Center | Yuma, AZ | $850K |
| Ortonville Area Health Services | Ortonville, MN | $834K |
| DRN Medical LLC | Easley, SC | $150K |
| Ortonville Area Health Services | Ortonville, MN | $138K |
| Ortonville Area Health Services | Ortonville, MN | $75K |
| Sunset Community Health Center INC | Somerton, AZ | $63K |
| Sunset Community Health Center | San Luis, AZ | $32K |
| Sunset Community Health Center | Somerton, AZ | $28K |
| Sunset Community Health Center INC | Wellton, AZ | $10K |
| Jackson Anesthesia Associates INC | Marianna, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.