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SUNRISE COMMUNITY HEALTH

Clinic/Center, Federally Qualified Health Center (FQHC)·EVANS, CO·NPI: 1295732048Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.8M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$26.8M

$26,824,569

Total Claims

462K

Beneficiaries

397K

1.2 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$5.6M
-38%
2019
$3.5M
+7%
2020
$3.7M
+14%
2021
$4.3M
-7%
2022
$4.0M
-8%
2023
$3.6M
-43%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 61% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$16.4M

106K claims · 61.2%

Your Cost: $154.75/claim|Median: $37.81
4.1× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$5.7M

37K claims · 21.3%

Your Cost: $153.15/claim|Median: $53.41
2.9× median
99212Top 5%

Office/outpatient visit, low complexity

$2.5M

16K claims · 9.4%

Your Cost: $156.93/claim|Median: $25.06
6.3× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$561K

3,161 claims · 2.1%

Your Cost: $177.59/claim|Median: $69.35
2.6× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$332K

1,876 claims · 1.2%

Your Cost: $177.08/claim|Median: $47.08
3.8× median
G0467Normal range

Federally qualified health center visit, mental health

$285K

11K claims · 1.1%

Your Cost: $26.02/claim|Median: $21.91
1.2× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$249K

1,512 claims · 0.9%

Your Cost: $164.62/claim|Median: $75.18
2.2× median
D0999Top 10%

Unspecified diagnostic procedure, by report

$90K

287 claims · 0.3%

Your Cost: $313.18/claim|Median: $101.33
3.1× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$88K

552 claims · 0.3%

Your Cost: $160.02/claim|Median: $57.85
2.8× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$80K

579 claims · 0.3%

Your Cost: $137.47/claim|Median: $59.72
2.3× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$78K

443 claims · 0.3%

Your Cost: $175.84/claim|Median: $74.82
2.4× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$48K

272 claims · 0.2%

Your Cost: $175.52/claim|Median: $80.15
2.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$42K

2,428 claims · 0.2%

Your Cost: $17.13/claim|Median: $33.72
0.5× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$41K

2,355 claims · 0.2%

Your Cost: $17.24/claim|Median: $36.70
0.5× median
36416Normal range

$35K

31K claims · 0.1%

Your Cost: $1.13/claim|Median: $1.31
0.9× median
0502FNormal range

$32K

1,197 claims · 0.1%

Your Cost: $26.57/claim|Median: $44.10
0.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$23K

431 claims · 0.1%

Your Cost: $52.93/claim|Median: $37.22
1.4× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$19K

17K claims · 0.1%

Your Cost: $1.14/claim|Median: $9.80
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$13K

774 claims · 0.0%

Your Cost: $16.59/claim|Median: $33.85
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$12K

1,788 claims · 0.0%

Your Cost: $6.92/claim|Median: $7.18
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$12K

757 claims · 0.0%

Your Cost: $16.33/claim|Median: $25.93
0.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$12K

70 claims · 0.0%

Your Cost: $168.07/claim|Median: $40.11
4.2× median
0072ATop 25%

$11K

234 claims · 0.0%

Your Cost: $45.94/claim|Median: $39.57
1.2× median
59409Normal range

Vaginal delivery only

$9K

16 claims · 0.0%

Your Cost: $552.69/claim|Median: $619.91
0.9× median
3008FNormal range

$9K

57K claims · 0.0%

Your Cost: $0.15/claim|Median: $0.06
2.5× median
0071ANormal range

$7K

215 claims · 0.0%

Your Cost: $33.05/claim|Median: $38.71
0.9× median
G2025Normal range

$7K

2,085 claims · 0.0%

Your Cost: $3.21/claim|Median: $15.63
0.2× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$6K

40 claims · 0.0%

Your Cost: $157.29/claim|Median: $76.22
2.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$6K

3,222 claims · 0.0%

Your Cost: $1.78/claim|Median: $39.63
0.0× median
1000FTop 25%

$5K

3,120 claims · 0.0%

Your Cost: $1.63/claim|Median: $0.01
162.5× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$5K

28 claims · 0.0%

Your Cost: $178.17/claim|Median: $81.92
2.2× median
3725FNormal range

$4K

21K claims · 0.0%

Your Cost: $0.19/claim|Median: $0.03
6.3× median
92015Normal range

Determination of refractive state

$4K

1,723 claims · 0.0%

Your Cost: $2.28/claim|Median: $10.36
0.2× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$3K

13 claims · 0.0%

Your Cost: $243.18/claim|Median: $22.44
10.8× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$3K

16 claims · 0.0%

Your Cost: $177.44/claim|Median: $38.23
4.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$3K

28 claims · 0.0%

Your Cost: $89.39/claim|Median: $62.48
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$2K

2,190 claims · 0.0%

Your Cost: $1.11/claim|Median: $9.10
0.1× median
99215Top 25%

Office/outpatient visit, high complexity

$2K

17 claims · 0.0%

Your Cost: $134.42/claim|Median: $74.09
1.8× median
90688Normal range

$2K

1,022 claims · 0.0%

Your Cost: $2.13/claim|Median: $9.00
0.2× median
0124ATop 5%

$2K

24 claims · 0.0%

Your Cost: $89.56/claim|Median: $34.32
2.6× median
81003Normal range

Urinalysis, automated without microscopy

$2K

21K claims · 0.0%

Your Cost: $0.10/claim|Median: $1.48
0.1× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$2K

13 claims · 0.0%

Your Cost: $153.49/claim|Median: $84.03
1.8× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$2K

12 claims · 0.0%

Your Cost: $163.87/claim|Median: $73.46
2.2× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

2,897 claims · 0.0%

Your Cost: $0.58/claim|Median: $30.04
0.0× median
87430Normal range

$2K

8,620 claims · 0.0%

Your Cost: $0.19/claim|Median: $9.41
0.0× median
3074FNormal range

$1K

11K claims · 0.0%

Your Cost: $0.13/claim|Median: $0.11
1.2× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$1K

88 claims · 0.0%

Your Cost: $16.14/claim|Median: $32.49
0.5× median
11981Normal range

$1K

15 claims · 0.0%

Your Cost: $79.34/claim|Median: $117.16
0.7× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$1K

35 claims · 0.0%

Your Cost: $31.63/claim|Median: $36.49
0.9× median
90715Normal range

Tdap vaccine

$847

480 claims · 0.0%

Your Cost: $1.76/claim|Median: $10.32
0.2× median

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$247.9M

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$195.3M

University Physicians Incorporated

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$190.7M

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$352.1M

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