Sunrise Community Health
Sunrise Community Health was paid $220K by Medicaid between Apr 2023 and Jul 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
LOVELAND, CO 80538
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 | |
|---|---|---|---|
| 2023 | 2,751 | $126K | |
| 2024incomplete | 1,522 | $94K |
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 | 47% | 489 | 419 | $102K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 27% | 324 | 306 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 111 | 107 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.6% | 76 | 74 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 49 | 48 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 343 | 324 | $424.94 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 187 | 158 | $227.25 |
| 90715 | <1% | 17 | 16 | $109.68 | |
| 87400 | <1% | 66 | 55 | $108.79 | |
| 87430 | <1% | 57 | 53 | $47.08 | |
| 99173 | <1% | 493 | 459 | $42.43 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | 12 | $24.00 |
8 more codes
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 | Greeley, CO | $13.01M |
| 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 | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.