Sunrise Community Health
Sunrise Community Health was paid $26.82M by Medicaid between Jan 2018 and Nov 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
EVANS, CO 80620
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 | 77,523 | $5.63M | |
| 2019 | 68,188 | $3.49M | |
| 2020 | 59,456 | $3.75M | |
| 2021 | 74,735 | $4.26M | |
| 2022 | 74,643 | $3.96M | |
| 2023 | 72,831 | $3.64M | |
| 2024incomplete | 34,586 | $2.09M |
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 | 61% | 106,150 | 91,328 | $16.43M |
| 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 | 21% | 37,227 | 32,742 | $5.70M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.4% | 16,150 | 13,916 | $2.53M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 3,161 | 2,917 | $561K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.2% | 1,876 | 1,718 | $332K |
| 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 | 1.1% | 10,935 | 8,959 | $285K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,512 | 1,479 | $249K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 287 | 268 | $90K |
| 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% | 552 | 521 | $88K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 579 | 498 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 443 | 439 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 272 | 267 | $48K |
90 more codes
| 0001A | <1% | 2,428 | $42K | |
| 0002A | <1% | 2,355 | $41K | |
| 36416 | <1% | 31,214 | $35K | |
| 0502F | <1% | 1,197 | $32K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 431 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16,505 | $19K |
| 0012A | <1% | 774 | $13K | |
| 90686 | <1% | 1,788 | $12K | |
| 0011A | <1% | 757 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 70 | $12K |
| 0072A | <1% | 234 | $11K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 16 | $9K |
| 3008F | <1% | 56,652 | $9K | |
| 0071A | <1% | 215 | $7K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,085 | $7K |
| 99385 | <1% | 40 | $6K | |
| 87428 | <1% | 3,222 | $6K | |
| 1000F | <1% | 3,120 | $5K | |
| 99383 | <1% | 28 | $5K | |
| 3725F | <1% | 20,857 | $4K | |
| 92015 | Determination of refractive state | <1% | 1,723 | $4K |
| 99442 | <1% | 13 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 16 | $3K |
| 99460 | <1% | 28 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,190 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $2K |
| 90688 | <1% | 1,022 | $2K | |
| 0124A | <1% | 24 | $2K | |
| 81003 | <1% | 21,038 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 99381 | <1% | 12 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,897 | $2K |
| 87430 | <1% | 8,620 | $2K | |
| 3074F | <1% | 11,082 | $1K | |
| 0031A | <1% | 88 | $1K | |
| 11981 | <1% | 15 | $1K | |
| 0003A | <1% | 35 | $1K | |
| 90715 | <1% | 480 | $846.72 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 14 | $766.20 |
| D0140 | Limited oral evaluation - problem focused | <1% | 58 | $635.94 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 30,833 | $578.65 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | $536.31 |
| 0013A | <1% | 24 | $488.26 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,433 | $485.59 |
| 0004A | <1% | 15 | $470.62 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 10,654 | $451.75 |
| D1110 | Prophylaxis - adult | <1% | 36 | $302.61 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,727 | $302.54 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 62 | $259.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | $203.05 |
| 92551 | <1% | 785 | $190.07 | |
| 90677 | <1% | 138 | $121.72 | |
| 90723 | <1% | 13 | $116.81 | |
| 85018 | <1% | 5,240 | $98.66 | |
| D0120 | Dental checkup, returning patient | <1% | 25 | $91.30 |
| 81025 | <1% | 2,193 | $59.43 | |
| 92250 | <1% | 246 | $38.71 | |
| 82962 | <1% | 10,653 | $34.64 | |
| 99173 | <1% | 906 | $30.82 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 68 | $12.00 |
| 87400 | <1% | 68 | $9.89 | |
| 3079F | 0% | 1,804 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 509 | $0.00 |
| 3044F | 0% | 310 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 227 | $0.00 |
| 87280 | 0% | 407 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 16 | $0.00 |
| 90474 | 0% | 39 | $0.00 | |
| 3075F | 0% | 312 | $0.00 | |
| 96127 | 0% | 15 | $0.00 | |
| 81001 | 0% | 125 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| 90647 | 0% | 26 | $0.00 | |
| 90480 | 0% | 18 | $0.00 | |
| 90716 | 0% | 56 | $0.00 | |
| 90651 | 0% | 20 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 3078F | 0% | 9,917 | $0.00 | |
| 80305 | 0% | 1,244 | $0.00 | |
| 90473 | 0% | 348 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 985 | $0.00 |
| 87210 | 0% | 534 | $0.00 | |
| 90633 | 0% | 21 | $0.00 | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 0% | 15 | $0.00 |
| 90713 | 0% | 103 | $0.00 | |
| 90746 | 0% | 29 | $0.00 | |
| 3077F | 0% | 27 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 86 | $0.00 |
| 81002 | 0% | 21 | $0.00 | |
| 90707 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Sunrise Community Health | Greeley, CO | $13.01M |
| Sunrise Community Health | Loveland, CO | $12.74M |
| Sunrise Community Health | Greeley, CO | $10.76M |
| 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.