Sunset Community Health Center
Sunset Community Health Center was paid $850K by Medicaid between Jan 2018 and Sep 2023, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
YUMA, AZ 85364
Next to other General Practice Dentistry providers in Arizona
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 | 1,743 | $70K | |
| 2019 | 48 | $9K | |
| 2020 | 586 | $96K | |
| 2021 | 2,427 | $379K | |
| 2022 | 2,649 | $193K | |
| 2023 | 1,440 | $102K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 4,223 | 3,603 | $844K |
| 0012A | <1% | 80 | 78 | $3K | |
| 0011A | <1% | 76 | 60 | $2K | |
| 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% | 480 | 421 | $1K |
| 0072A | <1% | 53 | 53 | $332.00 | |
| 0071A | <1% | 81 | 79 | $83.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 15 | 15 | $46.77 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 400 | 333 | $0.14 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 107 | 96 | $0.00 |
| 90688 | 0% | 17 | 16 | $0.00 | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 0% | 795 | 736 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,280 | 1,081 | $0.00 |
13 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 579 | $0.00 |
| 90686 | 0% | 154 | $0.00 | |
| 1036F | 0% | 104 | $0.00 | |
| 85018 | 0% | 52 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 1126F | 0% | 57 | $0.00 | |
| 1220F | 0% | 27 | $0.00 | |
| 0064A | 0% | 18 | $0.00 | |
| 99177 | 0% | 53 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 73 | $0.00 |
| 99001 | 0% | 120 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 83037 | 0% | 21 | $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 |
|---|---|---|
| Sunset Community Health Center INC | Yuma, AZ | $82.35M |
| Ortonville Area Health Services | Ortonville, MN | $834K |
| Sunset Community Health Center INC | San Luis, AZ | $167K |
| DRN Medical LLC | Easley, SC | $150K |
| Ortonville Area Health Services | Ortonville, MN | $138K |
| Ortonville Area Health Services | Ortonville, MN | $75K |
| Sunset Community Health Center INC | Somerton, AZ | $63K |
| Sunset Community Health Center | San Luis, AZ | $32K |
| Sunset Community Health Center | Somerton, AZ | $28K |
| Sunset Community Health Center INC | Wellton, AZ | $10K |
| Jackson Anesthesia Associates INC | Marianna, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.