Clinic
Sunrise Clinical Services, LLC
Sunrise Clinical Services, LLC was paid $20.55M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 39% of everything it billed.
33Billing provider infoSUNRISE CLINICAL SERVICES, LLC
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1336404417assigned 07/05/2012
33bProvider typeMethadone Clinic
28Total paid$20.55M
24GClaims404,948
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in New Jersey
Rank by total paid#4 of 33
Median peer was paid$4.86M
This provider vs. median4.2×
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 | 43,952 | $4.09M | |
| 2019 | 60,292 | $4.19M | |
| 2020 | 103,208 | $3.38M | |
| 2021 | 75,462 | $2.49M | |
| 2022 | 59,827 | $2.08M | |
| 2023 | 31,944 | $1.97M | |
| 2024incomplete | 30,263 | $2.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 39% | 173,527 | 24,701 | $8.12M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 24% | 43,681 | 4,798 | $4.85M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 19% | 43,583 | 11,048 | $3.81M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.9% | 22,688 | 5,057 | $2.04M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 1.7% | 4,437 | 315 | $347K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1.0% | 84,472 | 24,018 | $209K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 467 | 451 | $185K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,070 | 898 | $141K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 362 | 335 | $137K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 7,243 | 6,284 | $128K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 734 | 733 | $119K |
| 82075 | <1% | 14,117 | 4,201 | $116K |
15 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,526 | $113K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 757 | $86K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 867 | $42K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 1,345 | $41K |
| G0434 | Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter | <1% | 1,418 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 216 | $20K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 161 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 35 | $6K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 913 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 26 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $2K |
| 80305 | <1% | 157 | $2K | |
| 86580 | <1% | 32 | $160.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 31 | $116.25 |
| G2080 | Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 0% | 50 | $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 officialDECHERT, TERRYANN (ADMIN)