Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

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.

33Billing provider infoSUNRISE COMMUNITY HEALTH
EVANS, CO 80620
33aNPI1295732048assigned 07/07/2005
28Total paid$26.82M
24GClaims461,962
24DCodes billed102
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Colorado

Rank by total paid#9 of 197
Median peer was paid$1.11M
This provider vs. median24×

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.

Entity ProliferationAuthorized official WOLFF, CATHY controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201877,523$5.63M
201968,188$3.49M
202059,456$3.75M
202174,735$4.26M
202274,643$3.96M
202372,831$3.64M
2024incomplete34,586$2.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialWOLFF, CATHY (CFO)
Same official

Other billing entities under WOLFF, CATHY

Full network →
ProviderLocationPaid
Sunrise Community HealthGreeley, CO$13.01M
Sunrise Community HealthLoveland, CO$12.74M
Sunrise Community HealthGreeley, CO$10.76M
Sunrise Community HealthGreeley, CO$6.67M
Sunrise Community HealthLoveland, CO$4.15M
Sunrise Community HealthGreeley, CO$2.30M
Sunrise Community HealthGreeley, CO$1.62M
Sunrise Community HealthLoveland, CO$1.23M
Sunrise Community HealthWindsor, CO$516K
Sunrise Community HealthEvans, CO$388K
Sunrise Community HealthGreeley, CO$282K
Sunrise Community HealthLoveland, CO$220K
Sunrise Community HealthLoveland, CO$80K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.