Physician
Sunrise Community Health
Sunrise Community Health was paid $12.74M by Medicaid between Jan 2018 and Nov 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoSUNRISE COMMUNITY HEALTH
LOVELAND, CO 80537
LOVELAND, CO 80537
33aNPI1902005382assigned 07/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$12.74M
24GClaims179,911
24DCodes billed76
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#2 of 532
Median peer was paid$35K
This provider vs. median368×
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.
Entity ProliferationAuthorized official WOLFF, CATHY controls 13+ related entities in our dataset. Read more
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 | 13,112 | $1.12M | |
| 2019 | 20,962 | $1.62M | |
| 2020 | 27,184 | $2.15M | |
| 2021 | 27,718 | $2.08M | |
| 2022 | 29,373 | $1.95M | |
| 2023 | 34,827 | $2.12M | |
| 2024incomplete | 26,735 | $1.71M |
Box 24 · Service lines
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 | 61% | 47,067 | 41,010 | $7.83M |
| 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 | 21% | 16,343 | 14,380 | $2.73M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 9,062 | 7,983 | $1.51M |
| D0999 | Unspecified diagnostic procedure, by report | 1.5% | 827 | 669 | $191K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 580 | 549 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 400 | 334 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 350 | 318 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 246 | 226 | $41K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 146 | 137 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 127 | 123 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 105 | 105 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | 76 | $13K |
64 more codes
| 0502F | <1% | 449 | $12K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,113 | $11K |
| 99442 | <1% | 40 | $9K | |
| 0011A | <1% | 544 | $9K | |
| 3008F | <1% | 37,320 | $7K | |
| 0012A | <1% | 419 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,023 | $7K |
| 90686 | <1% | 542 | $7K | |
| 0001A | <1% | 322 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 106 | $5K |
| 99383 | <1% | 25 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 25 | $5K |
| 0002A | <1% | 243 | $4K | |
| D1110 | Prophylaxis - adult | <1% | 56 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 959 | $4K |
| D4910 | <1% | 16 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 73 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 157 | $3K |
| 99201 | <1% | 13 | $2K | |
| 36416 | <1% | 1,951 | $2K | |
| 0071A | <1% | 62 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 31 | $2K |
| 0013A | <1% | 85 | $2K | |
| 0064A | <1% | 48 | $2K | |
| 1000F | <1% | 1,686 | $1K | |
| 81025 | <1% | 736 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15,453 | $915.31 |
| 0004A | <1% | 27 | $903.60 | |
| D1120 | Dental cleaning, child | <1% | 25 | $884.00 |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $884.00 |
| 90688 | <1% | 600 | $704.99 | |
| 80305 | <1% | 4,164 | $659.75 | |
| 81003 | <1% | 3,766 | $572.19 | |
| 0003A | <1% | 27 | $542.36 | |
| 0072A | <1% | 29 | $503.54 | |
| 3074F | <1% | 7,075 | $390.40 | |
| 0031A | <1% | 15 | $301.18 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,211 | $273.00 |
| 3725F | <1% | 7,235 | $187.45 | |
| 99173 | <1% | 219 | $187.45 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 724 | $126.23 |
| 87430 | <1% | 778 | $109.70 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 664 | $75.00 |
| 87400 | <1% | 106 | $49.45 | |
| 87428 | <1% | 104 | $25.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 126 | $24.00 |
| 85018 | <1% | 306 | $8.30 | |
| 3079F | 0% | 2,379 | $0.00 | |
| 3075F | 0% | 725 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 129 | $0.00 |
| 3080F | 0% | 184 | $0.00 | |
| 3044F | 0% | 16 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 21 | $0.00 |
| 92551 | 0% | 105 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 15 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 21 | $0.00 |
| 96127 | 0% | 12 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 13 | $0.00 |
| 3078F | 0% | 6,000 | $0.00 | |
| 3077F | 0% | 288 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 218 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 684 | $0.00 |
| 90715 | 0% | 44 | $0.00 | |
| 98926 | 0% | 16 | $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 officialWOLFF, CATHY (CFO)
Parent organizationSUNRISE COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| Sunrise Community Health | Evans, CO | $26.82M |
| Sunrise Community Health | Greeley, CO | $13.01M |
| 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.