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Sunrise Treatment Center, LLC

Clinic/Center, Adult Mental Health·Cincinnati, OH·NPI: 1992043053Share

Compared to Clinic/Center, Adult Mental Health Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $130.1M is at the 75th percentile among 10 Clinic/Center, Adult Mental Health providers.

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

Total Paid

$130.1M

$130,120,856

Total Claims

1.7M

Beneficiaries

900K

1.9 claims/patient

Avg Cost/Claim

$75

#888 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Sunrise Treatment Center, LLC is a Clinic/Center, Adult Mental Health provider based in Cincinnati, OH. From the 2018–2024 period, this provider received $130.1M in Medicaid payments across 1.7M claims.

Why This Matters

This provider received $130.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,265 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 126% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$10.4M
+44%
2019
$15.0M
+24%
2020
$18.6M
-4%
2021
$17.9M
+12%
2022
$19.9M
+25%
2023
$24.8M
-5%
2024
$23.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1502 (Administration of oral, intramuscular, or subcutaneous medication)) accounts for 31% of total spending.

T1502Top 5%

Administration of oral, intramuscular, or subcutaneous medication

$40.2M

255K claims · 30.9%

Your Cost: $158.00/claim|Median: $7.86
20.1× median
S5000Top 5%

Prescription drug, generic

$40.0M

300K claims · 30.8%

Your Cost: $133.22/claim|Median: $7.47
17.8× median
S5001Top 10%

$6.0M

26K claims · 4.6%

Your Cost: $228.02/claim|Median: $17.91
12.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5.5M

94K claims · 4.2%

Your Cost: $58.37/claim|Median: $74.63
0.8× median
99214Top 5%

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

$4.8M

41K claims · 3.7%

Your Cost: $117.30/claim|Median: $53.41
2.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$4.1M

93K claims · 3.2%

Your Cost: $44.48/claim|Median: $35.43
1.3× median
H0015Top 25%

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

$4.0M

24K claims · 3.1%

Your Cost: $166.60/claim|Median: $129.75
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$3.9M

39K claims · 3.0%

Your Cost: $101.02/claim|Median: $85.66
1.2× median
G0482Top 25%

Drug test, definitive, 15-21 drug classes

$3.7M

31K claims · 2.8%

Your Cost: $119.59/claim|Median: $75.26
1.6× median
H0048Top 25%

$3.6M

250K claims · 2.7%

Your Cost: $14.27/claim|Median: $13.25
1.1× median
J0574Normal range

$3.2M

204K claims · 2.5%

Your Cost: $15.76/claim|Median: $15.76
1.0× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$2.3M

33K claims · 1.8%

Your Cost: $69.97/claim|Median: $37.56
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.8M

26K claims · 1.4%

Your Cost: $68.80/claim|Median: $63.65
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$1.8M

34K claims · 1.4%

Your Cost: $53.03/claim|Median: $41.28
1.3× median
J3490Top 5%

Unclassified drugs

$756K

7K claims · 0.6%

Your Cost: $109.70/claim|Median: $5.70
19.3× median
J0572Normal range

$596K

53K claims · 0.5%

Your Cost: $11.16/claim|Median: $8.49
1.3× median
J0571Top 25%

$450K

27K claims · 0.3%

Your Cost: $16.75/claim|Median: $7.96
2.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$326K

2K claims · 0.3%

Your Cost: $201.00/claim|Median: $111.09
1.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$277K

13K claims · 0.2%

Your Cost: $22.00/claim|Median: $24.24
0.9× median
80362Top 25%

$269K

17K claims · 0.2%

Your Cost: $16.11/claim|Median: $5.83
2.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$234K

4K claims · 0.2%

Your Cost: $52.12/claim|Median: $47.35
1.1× median
80348Normal range

$210K

24K claims · 0.2%

Your Cost: $8.94/claim|Median: $6.63
1.4× median
80354Normal range

$209K

23K claims · 0.2%

Your Cost: $8.93/claim|Median: $5.61
1.6× median
J0575Normal range

$180K

18K claims · 0.1%

Your Cost: $9.90/claim|Median: $14.96
0.7× median
80346Top 25%

$166K

12K claims · 0.1%

Your Cost: $14.00/claim|Median: $8.14
1.7× median
99213Top 10%

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

$152K

2K claims · 0.1%

Your Cost: $79.25/claim|Median: $37.81
2.1× median
99215Top 10%

Office/outpatient visit, high complexity

$131K

882 claims · 0.1%

Your Cost: $148.91/claim|Median: $74.09
2.0× median
J2315Top 25%

$118K

94 claims · 0.1%

Your Cost: $1,258.64/claim|Median: $1,045.36
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$91K

5K claims · 0.1%

Your Cost: $19.70/claim|Median: $12.93
1.5× median
80364Top 25%

$89K

5K claims · 0.1%

Your Cost: $16.32/claim|Median: $5.09
3.2× median

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