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SUNRISE CLINICAL SERVICES, LLC

Clinic/Center, Methadone Clinic·IRVINGTON, NJ·NPI: 1336404417Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.6M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.6M

$20,554,081

Total Claims

405K

Beneficiaries

89K

4.5 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+3%
2019
$4.2M
-19%
2020
$3.4M
-26%
2021
$2.5M
-16%
2022
$2.1M
-5%
2023
$2.0M
+20%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 39% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$8.1M

174K claims · 39.5%

Your Cost: $46.78/claim|Median: $18.95
2.5× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$4.9M

44K claims · 23.6%

Your Cost: $111.07/claim|Median: $129.75
0.9× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3.8M

44K claims · 18.5%

Your Cost: $87.37/claim|Median: $73.29
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$2.0M

23K claims · 9.9%

Your Cost: $90.08/claim|Median: $63.65
1.4× median
H2036Normal range

Alcohol/drug treatment, per hour

$347K

4,437 claims · 1.7%

Your Cost: $78.31/claim|Median: $253.79
0.3× median
H0048Normal range

$209K

84K claims · 1.0%

Your Cost: $2.47/claim|Median: $13.25
0.2× median
G2076Normal range

$185K

467 claims · 0.9%

Your Cost: $395.87/claim|Median: $275.92
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$141K

2,070 claims · 0.7%

Your Cost: $68.21/claim|Median: $41.28
1.7× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$137K

362 claims · 0.7%

Your Cost: $377.89/claim|Median: $108.91
3.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$128K

7,243 claims · 0.6%

Your Cost: $17.62/claim|Median: $12.93
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$119K

734 claims · 0.6%

Your Cost: $162.76/claim|Median: $99.21
1.6× median
82075Normal range

Alcohol (ethanol) breath test

$116K

14K claims · 0.6%

Your Cost: $8.25/claim|Median: $16.59
0.5× median
99213Top 10%

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

$113K

1,526 claims · 0.6%

Your Cost: $74.16/claim|Median: $37.81
2.0× median
99214Top 10%

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

$86K

757 claims · 0.4%

Your Cost: $113.08/claim|Median: $53.41
2.1× median
99212Top 25%

Office/outpatient visit, low complexity

$42K

867 claims · 0.2%

Your Cost: $48.67/claim|Median: $25.06
1.9× median
G2078Normal range

$41K

1,345 claims · 0.2%

Your Cost: $30.19/claim|Median: $27.04
1.1× median
G0434Normal range

$22K

1,418 claims · 0.1%

Your Cost: $15.83/claim|Median: $15.83
1.0× median
99204Normal range

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

$20K

216 claims · 0.1%

Your Cost: $92.04/claim|Median: $84.03
1.1× median
99203Normal range

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

$10K

161 claims · 0.0%

Your Cost: $60.99/claim|Median: $57.85
1.1× median
99215Top 10%

Office/outpatient visit, high complexity

$6K

35 claims · 0.0%

Your Cost: $161.06/claim|Median: $74.09
2.2× median
H0003Normal range

$4K

913 claims · 0.0%

Your Cost: $4.57/claim|Median: $13.38
0.3× median
90847Top 25%

Family psychotherapy with patient, 50 min

$3K

26 claims · 0.0%

Your Cost: $113.94/claim|Median: $77.33
1.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$2K

33 claims · 0.0%

Your Cost: $75.26/claim|Median: $40.11
1.9× median
80305Top 25%

$2K

157 claims · 0.0%

Your Cost: $10.08/claim|Median: $7.44
1.4× median
86580Normal range

Tuberculosis (TB) skin test

$160

32 claims · 0.0%

Your Cost: $5.00/claim|Median: $4.46
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$116

31 claims · 0.0%

Your Cost: $3.75/claim|Median: $1.57
2.4× median
G2080

$0

50 claims · 0.0%

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