Behavioral
Sunrise Clinics
Sunrise Clinics was paid $10.62M by Medicaid between Jun 2020 and Dec 2024, across 62 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoSUNRISE CLINICS
SANTA ROSA, NM 88435
SANTA ROSA, NM 88435
33aNPI1164055927assigned 02/19/2020
33bProvider typeSocial Worker
28Total paid$10.62M
24GClaims194,228
24DCodes billed62
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Social Worker providers in New Mexico
Rank by total paid#2 of 31
Median peer was paid$169K
This provider vs. median63×
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 | |
|---|---|---|---|
| 2020 | 9,094 | $391K | |
| 2021 | 38,618 | $1.87M | |
| 2022 | 56,750 | $2.73M | |
| 2023 | 49,272 | $2.98M | |
| 2024incomplete | 40,494 | $2.65M |
Box 24 · Service lines
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 | 86% | 63,289 | 44,733 | $9.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 43,630 | 34,614 | $478K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 3.2% | 13,162 | 10,328 | $337K |
| 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 | 2.5% | 14,456 | 12,360 | $263K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 2,441 | 1,177 | $110K |
| 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% | 12,349 | 7,708 | $98K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,898 | 2,015 | $73K |
| 99490 | Ccm add 20min | <1% | 1,773 | 1,736 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,826 | 3,347 | $12K |
| 90674 | <1% | 454 | 450 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,415 | 1,371 | $7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 652 | 527 | $7K |
50 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 837 | $6K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,137 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 955 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,986 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 828 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 398 | $2K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 628 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 104 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 108 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 884 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,382 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 730 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 378 | $935.62 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,727 | $834.59 |
| 82962 | <1% | 3,145 | $717.72 | |
| 90461 | <1% | 361 | $685.91 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,589 | $632.98 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 294 | $492.80 |
| 80305 | <1% | 1,614 | $450.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 53 | $403.56 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 413 | $388.53 |
| G0466 | Community health center visit, new patient | <1% | 33 | $300.74 |
| 93000 | <1% | 742 | $278.94 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 764 | $212.16 |
| 99384 | <1% | 91 | $201.78 | |
| G0008 | Administration of influenza virus vaccine | <1% | 542 | $188.15 |
| 90688 | <1% | 811 | $148.97 | |
| 82044 | <1% | 558 | $145.62 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 59 | $144.05 |
| 87428 | <1% | 2,614 | $140.92 | |
| 81002 | <1% | 1,674 | $135.22 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $90.11 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 29 | $68.78 |
| 90686 | <1% | 461 | $68.29 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $56.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,117 | $52.92 |
| 81025 | <1% | 424 | $29.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 88 | $9.46 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 97 | $3.93 |
| 1100F | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 486 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 46 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 20 | $0.00 |
| 90756 | 0% | 199 | $0.00 | |
| 3288F | 0% | 13 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 14 | $0.00 |
| 87807 | 0% | 164 | $0.00 | |
| 99383 | 0% | 18 | $0.00 | |
| 95117 | 0% | 175 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialBROWN, RANDAL (CEO)