Agency
Sunrise Clinical Associates, PLLC
Sunrise Clinical Associates, PLLC was paid $16.45M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 39% of everything it billed.
33Billing provider infoSUNRISE CLINICAL ASSOCIATES, PLLC
DURHAM, NC 27707
DURHAM, NC 27707
33aNPI1811291115assigned 12/29/2010
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$16.45M
24GClaims97,535
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#47 of 856
Median peer was paid$908K
This provider vs. median18×
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 | 10,054 | $1.65M | |
| 2019 | 9,740 | $1.49M | |
| 2020 | 12,023 | $1.78M | |
| 2021 | 14,112 | $2.23M | |
| 2022 | 11,268 | $2.00M | |
| 2023 | 23,621 | $4.02M | |
| 2024incomplete | 16,717 | $3.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 39% | 26,208 | 2,024 | $6.37M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 33% | 26,069 | 2,199 | $5.38M |
| H0038 | Self-help/peer services, per 15 minutes | 11% | 17,205 | 2,726 | $1.80M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 11% | 21,720 | 1,448 | $1.75M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.3% | 2,124 | 1,713 | $535K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 2.7% | 1,897 | 1,671 | $438K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 2,312 | 548 | $179K |
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 officialODIM, ANYA (CEO)