SUNRISE HOME HEALTH CARE
NPI: 1851818041
· VALLEY VILLAGE, CA 91607
· Home Health Agency
· NPI assigned 08/28/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code G0300 with only 2 total codes billed. Highly concentrated billing profile.
$4.11M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,442 |
$1.30M |
| 2024 |
5,057 |
$2.81M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
7,186 |
390 |
$4.07M |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
313 |
284 |
$42K |