Clinic
Sunrise Medical Group, PC
Sunrise Medical Group, PC was paid $2.01M by Medicaid between Jan 2018 and Apr 2021, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoSUNRISE MEDICAL GROUP, PC
SANTA ROSA, NM 88435
SANTA ROSA, NM 88435
33aNPI1124107446assigned 11/06/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.01M
24GClaims47,781
24DCodes billed38
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in New Mexico
Rank by total paid#5 of 31
Median peer was paid$263K
This provider vs. median7.7×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,127 | $540K | |
| 2019 | 19,779 | $799K | |
| 2020 | 11,394 | $584K | |
| 2021 | 1,481 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 20,065 | 17,945 | $977K |
| 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 | 31% | 9,941 | 9,207 | $630K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.0% | 1,867 | 973 | $161K |
| 99490 | Ccm add 20min | 3.0% | 7,111 | 7,034 | $61K |
| 99205 | Prolong outpt/office vis | 1.9% | 288 | 282 | $39K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 171 | 168 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 211 | 211 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 780 | 388 | $12K |
| 80305 | <1% | 1,141 | 1,105 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 171 | 170 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 655 | 645 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 96 | 95 | $9K |
26 more codes
| 90674 | <1% | 525 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 378 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 54 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 941 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 466 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 38 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 33 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 156 | $3K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 30 | $3K |
| 82962 | <1% | 1,680 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | $3K |
| 99386 | <1% | 13 | $2K | |
| 99487 | Ccm add 20min | <1% | 178 | $2K |
| 95117 | <1% | 202 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 89 | $1K |
| 90461 | <1% | 42 | $921.50 | |
| 93000 | <1% | 58 | $687.25 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $505.55 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 65 | $389.08 |
| 99408 | <1% | 14 | $212.71 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 37 | $199.13 |
| 82044 | <1% | 73 | $195.45 | |
| 81002 | <1% | 68 | $136.39 | |
| G0008 | Administration of influenza virus vaccine | <1% | 76 | $2.35 |
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.
From NPPES
Who's on the registration
Authorized officialSANCHEZ, JESSICA (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| The Refinery Integrated Wellness Services Marriage and Family Thera | Palm Desert, CA | $1.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.