Sunrise Community Health
Sunrise Community Health was paid $10.76M by Medicaid between Jan 2018 and Oct 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
GREELEY, CO 80631
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
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 | 23,329 | $1.49M | |
| 2019 | 31,661 | $1.45M | |
| 2020 | 29,798 | $1.94M | |
| 2021 | 26,554 | $1.69M | |
| 2022 | 28,188 | $1.57M | |
| 2023 | 31,447 | $1.50M | |
| 2024incomplete | 18,523 | $1.14M |
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 | 63% | 43,394 | 36,590 | $6.81M |
| 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 | 22% | 14,647 | 12,877 | $2.34M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 7,557 | 6,498 | $1.17M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 767 | 737 | $128K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 652 | 620 | $111K |
| 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% | 3,292 | 2,647 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 163 | 159 | $27K |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 33 | 31 | $17K |
| 0502F | <1% | 835 | 642 | $14K | |
| 36416 | <1% | 12,273 | 10,555 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 40 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 972 | 819 | $6K |
41 more codes
| 90686 | <1% | 1,063 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,199 | $4K |
| 90688 | <1% | 665 | $4K | |
| 99442 | <1% | 18 | $4K | |
| 3008F | <1% | 28,312 | $4K | |
| 82962 | <1% | 3,031 | $3K | |
| 1000F | <1% | 1,392 | $3K | |
| 3725F | <1% | 13,269 | $3K | |
| 81025 | <1% | 613 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $2K |
| 81003 | <1% | 10,438 | $2K | |
| 0002A | <1% | 88 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 17,465 | $1K |
| 0001A | <1% | 64 | $1K | |
| 90715 | <1% | 95 | $1K | |
| 97810 | <1% | 39 | $976.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,089 | $937.29 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 924 | $778.17 |
| 0011A | <1% | 17 | $260.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,287 | $253.50 |
| 3074F | <1% | 5,172 | $195.20 | |
| 92551 | <1% | 345 | $187.45 | |
| 87430 | <1% | 472 | $177.44 | |
| 85018 | <1% | 795 | $83.05 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 86 | $72.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 388 | $71.39 |
| 87400 | <1% | 109 | $63.58 | |
| 3044F | 0% | 236 | $0.00 | |
| 3079F | 0% | 955 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 102 | $0.00 |
| 3075F | 0% | 142 | $0.00 | |
| 87428 | 0% | 59 | $0.00 | |
| 90732 | 0% | 21 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 25 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 39 | $0.00 |
| 3078F | 0% | 4,800 | $0.00 | |
| 90473 | 0% | 176 | $0.00 | |
| 80305 | 0% | 995 | $0.00 | |
| 99173 | 0% | 221 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 598 | $0.00 |
| 87210 | 0% | 58 | $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 |
|---|---|---|
| Sunrise Community Health | Evans, CO | $26.82M |
| Sunrise Community Health | Greeley, CO | $13.01M |
| Sunrise Community Health | Loveland, CO | $12.74M |
| Sunrise Community Health | Greeley, CO | $6.67M |
| Sunrise Community Health | Loveland, CO | $4.15M |
| Sunrise Community Health | Greeley, CO | $2.30M |
| Sunrise Community Health | Greeley, CO | $1.62M |
| Sunrise Community Health | Loveland, CO | $1.23M |
| Sunrise Community Health | Windsor, CO | $516K |
| Sunrise Community Health | Evans, CO | $388K |
| Sunrise Community Health | Greeley, CO | $282K |
| Sunrise Community Health | Loveland, CO | $220K |
| Sunrise Community Health | Loveland, CO | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.