Sunrise Community Health
Sunrise Community Health was paid $13.01M by Medicaid between Jan 2018 and Jul 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
GREELEY, CO 80631
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
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 | 22,251 | $1.49M | |
| 2019 | 31,291 | $1.86M | |
| 2020 | 25,619 | $1.97M | |
| 2021 | 25,450 | $1.89M | |
| 2022 | 29,523 | $1.81M | |
| 2023 | 32,638 | $2.13M | |
| 2024incomplete | 22,480 | $1.85M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 29,659 | 26,516 | $5.12M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 12,563 | 11,355 | $2.11M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 9,433 | 8,735 | $1.66M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 8,478 | 7,899 | $1.57M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 5,643 | 5,239 | $1.03M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 2,763 | 2,486 | $490K |
| 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 | 2.8% | 2,089 | 1,914 | $363K |
| D0999 | Unspecified diagnostic procedure, by report | 2.2% | 1,597 | 1,404 | $285K |
| 99381 | <1% | 300 | 279 | $52K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 263 | 245 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 587 | 563 | $40K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 303 | 259 | $27K |
59 more codes
| D0120 | Dental checkup, returning patient | <1% | 434 | $23K |
| D1206 | Topical application of fluoride varnish | <1% | 686 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,346 | $21K |
| 92551 | <1% | 12,105 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 44 | $11K |
| 87430 | <1% | 5,650 | $11K | |
| D1351 | Sealant - per tooth | <1% | 165 | $10K |
| D0272 | Bitewings - two radiographic images | <1% | 199 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 316 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 99 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,112 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16,625 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 221 | $6K |
| 90686 | <1% | 1,581 | $6K | |
| 87428 | <1% | 1,316 | $6K | |
| 90677 | <1% | 828 | $5K | |
| 36416 | <1% | 7,988 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 32 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,343 | $3K |
| 87400 | <1% | 659 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 515 | $3K |
| 99173 | <1% | 8,313 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,557 | $2K |
| 85018 | <1% | 5,422 | $2K | |
| 90651 | <1% | 28 | $2K | |
| 90723 | <1% | 681 | $1K | |
| D0190 | <1% | 27 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $1K |
| 90633 | <1% | 244 | $821.47 | |
| 83655 | <1% | 186 | $799.52 | |
| 90647 | <1% | 503 | $578.00 | |
| 3008F | <1% | 14,466 | $556.51 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 78 | $339.45 |
| 0002A | <1% | 13 | $260.00 | |
| 90688 | <1% | 15 | $225.36 | |
| 90700 | <1% | 28 | $220.12 | |
| 1000F | <1% | 47 | $195.20 | |
| 3725F | <1% | 2,279 | $178.99 | |
| 90474 | <1% | 779 | $175.50 | |
| 90680 | <1% | 13 | $111.68 | |
| 90734 | <1% | 30 | $81.60 | |
| 87280 | <1% | 160 | $46.95 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $34.00 |
| 90461 | <1% | 109 | $32.50 | |
| 81003 | <1% | 45 | $3.16 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,478 | $0.00 |
| 3074F | 0% | 1,700 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 179 | $0.00 |
| 90716 | 0% | 30 | $0.00 | |
| 99070 | 0% | 13 | $0.00 | |
| 90681 | 0% | 166 | $0.00 | |
| 90473 | 0% | 664 | $0.00 | |
| 3078F | 0% | 1,672 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 217 | $0.00 |
| 81025 | 0% | 12 | $0.00 | |
| 90707 | 0% | 30 | $0.00 | |
| 90671 | 0% | 52 | $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 |
|---|---|---|
| Sunrise Community Health | Evans, CO | $26.82M |
| Sunrise Community Health | Loveland, CO | $12.74M |
| Sunrise Community Health | Greeley, CO | $10.76M |
| Sunrise Community Health | Greeley, CO | $6.67M |
| Sunrise Community Health | Loveland, CO | $4.15M |
| Sunrise Community Health | Greeley, CO | $2.30M |
| Sunrise Community Health | Greeley, CO | $1.62M |
| Sunrise Community Health | Loveland, CO | $1.23M |
| Sunrise Community Health | Windsor, CO | $516K |
| Sunrise Community Health | Evans, CO | $388K |
| Sunrise Community Health | Greeley, CO | $282K |
| Sunrise Community Health | Loveland, CO | $220K |
| Sunrise Community Health | Loveland, CO | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.