Sunshine Kids Medical Associates INC

Sunshine Kids Medical Associates INC was paid $1.60M by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 21% of everything it billed.

33Billing provider infoSUNSHINE KIDS MEDICAL ASSOCIATES INC
GARDEN GROVE, CA 92843

33aNPI1003991373assigned 10/26/2006

33bProvider typePediatrics Physician

28Total paid$1.60M

24GClaims61,528

24DCodes billed46

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#88 of 1,490

Median peer was paid$15K

This provider vs. median107×

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.

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	6,120	$210K
2019	9,102	$247K
2020	8,811	$294K
2021	8,318	$284K
2022	9,587	$298K
2023	10,241	$189K
2024incomplete	9,349	$75K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96110	Developmental screening, with scoring and documentation, per standardized instrument	21%	5,329	5,299	$330K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	9,181	8,281	$290K
96156		16%	4,870	4,809	$253K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.8%	2,256	2,253	$140K
97802		7.2%	4,941	4,928	$116K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.5%	2,011	2,003	$105K
G9920	Screening performed and negative	4.7%	3,710	3,700	$75K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.0%	3,180	3,078	$64K
92551		3.3%	4,964	4,945	$53K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.6%	1,100	1,092	$41K
96151		1.9%	1,343	1,340	$30K
90686		<1%	1,584	1,580	$13K

34 more codes

99214	Doctor's office visit, returning patient (more involved)	<1%	629	$12K
81000		<1%	4,942	$11K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	665	$10K
85018		<1%	4,941	$10K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	309	$9K
96127		<1%	1,812	$5K
90672		<1%	599	$5K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	89	$4K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	297	$4K
90700		<1%	420	$3K
90619		<1%	354	$2K
90674		<1%	312	$2K
90651		<1%	298	$2K
90734		<1%	143	$1K
90713		<1%	216	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	26	$1K
90688		<1%	85	$765.00
90648		<1%	105	$747.89
90670		<1%	105	$702.00
90715		<1%	130	$504.00
90685		<1%	51	$459.00
86580		<1%	79	$341.44
83655		<1%	40	$337.50
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	17	$274.08
96150		<1%	12	$259.61
90661		<1%	79	$216.00
90707		<1%	24	$198.00
90677		<1%	54	$180.00
90633		<1%	59	$180.00
90660		<1%	78	$171.00
90744		<1%	14	$139.50
90656		<1%	48	$81.00
99383		<1%	12	$70.73
99188		0%	15	$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 officialLEE, SHELLEY (PRESIDENT)