Physician
Sunrise Health Care, PC
Sunrise Health Care, PC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoSUNRISE HEALTH CARE, PC
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
33aNPI1164662052assigned 03/05/2009
33bProvider typeInternal Medicine Physician
28Total paid$1.14M
24GClaims33,000
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Colorado
Rank by total paid#24 of 193
Median peer was paid$34K
This provider vs. median33×
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 | 5,049 | $175K | |
| 2019 | 7,485 | $231K | |
| 2020 | 6,427 | $217K | |
| 2021 | 4,322 | $166K | |
| 2022 | 4,463 | $161K | |
| 2023 | 2,848 | $93K | |
| 2024incomplete | 2,406 | $93K |
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 | 30% | 6,086 | 5,298 | $340K |
| 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 | 28% | 4,380 | 3,828 | $320K |
| 99401 | 13% | 4,732 | 3,866 | $149K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 5.4% | 2,205 | 2,031 | $61K |
| 99408 | 3.3% | 1,261 | 1,155 | $38K | |
| 96127 | 2.8% | 3,543 | 3,312 | $32K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 275 | 269 | $23K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.7% | 507 | 447 | $19K |
| 99406 | 1.4% | 1,596 | 1,352 | $16K | |
| 92551 | 1.2% | 1,348 | 1,285 | $13K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 124 | 91 | $13K |
| 99173 | 1.1% | 1,351 | 1,300 | $12K |
30 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.1% | 101 | $12K |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 444 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 117 | $11K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 937 | $10K |
| 90674 | <1% | 551 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 464 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 52 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 206 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $5K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 232 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 37 | $4K |
| 99497 | <1% | 117 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 364 | $3K |
| 99000 | <1% | 859 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 124 | $2K |
| 81002 | <1% | 459 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 72 | $990.00 |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | <1% | 12 | $618.64 |
| H0049 | Alcohol and/or drug screening | <1% | 54 | $497.84 |
| 90661 | <1% | 37 | $442.20 | |
| 90694 | <1% | 27 | $186.66 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $161.16 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13 | $140.00 |
| 90653 | <1% | 13 | $83.49 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 19 | $14.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 146 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 30 | $0.00 |
| 3075F | 0% | 12 | $0.00 | |
| 3078F | 0% | 14 | $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 officialNWEKE, GRACE (PRESIDENT)