Physician
Sunrise Medical PC
Sunrise Medical PC was paid $729K by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSUNRISE MEDICAL PC
CORONA, NY 11368
CORONA, NY 11368
33aNPI1023047289assigned 07/01/2006
33bProvider typePulmonary Disease Physician
28Total paid$729K
24GClaims178,740
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#18 of 413
Median peer was paid$8K
This provider vs. median93×
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 | 15,287 | $107K | |
| 2019 | 25,403 | $159K | |
| 2020 | 29,222 | $176K | |
| 2021 | 28,955 | $146K | |
| 2022 | 24,477 | $56K | |
| 2023 | 33,249 | $57K | |
| 2024incomplete | 22,147 | $27K |
Box 24 · Service lines
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 | 33% | 10,265 | 9,083 | $238K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 27% | 5,052 | 4,500 | $194K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 13% | 7,550 | 6,642 | $98K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.9% | 1,199 | 1,141 | $65K |
| 99402 | 4.5% | 1,192 | 1,083 | $33K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.1% | 971 | 865 | $30K |
| 99397 | 2.6% | 830 | 748 | $19K | |
| 99401 | 2.1% | 9,018 | 7,871 | $16K | |
| 97802 | 1.1% | 8,756 | 7,648 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 79 | 79 | $4K |
| 99407 | <1% | 600 | 582 | $4K | |
| 99443 | <1% | 56 | 55 | $3K |
51 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $3K |
| 3074F | <1% | 4,566 | $2K | |
| 3078F | <1% | 4,304 | $2K | |
| 3079F | <1% | 1,238 | $1K | |
| 93000 | <1% | 72 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,257 | $1K |
| 99442 | <1% | 172 | $956.85 | |
| 99496 | <1% | 28 | $811.00 | |
| 99406 | <1% | 746 | $768.13 | |
| 99491 | Ccm add 20min | <1% | 79 | $722.04 |
| 3075F | <1% | 815 | $720.00 | |
| 1160F | <1% | 6,915 | $352.50 | |
| 1126F | <1% | 4,867 | $320.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $292.62 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 9,127 | $270.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 20 | $238.36 |
| H0001 | Alcohol and/or drug assessment | <1% | 8,433 | $230.03 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 155 | $194.23 |
| 1170F | <1% | 480 | $190.00 | |
| 1159F | <1% | 494 | $190.00 | |
| 1125F | <1% | 1,822 | $180.00 | |
| 90658 | <1% | 12 | $122.68 | |
| 94664 | <1% | 12 | $112.88 | |
| 3077F | <1% | 125 | $72.50 | |
| 82270 | <1% | 29 | $52.51 | |
| 3080F | <1% | 62 | $37.50 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 10,138 | $0.03 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,334 | $0.01 |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | <1% | 6,955 | $0.01 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,850 | $0.00 |
| 1157F | 0% | 7,037 | $0.00 | |
| 3008F | 0% | 8,075 | $0.00 | |
| 1000F | 0% | 6,210 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 1,000 | $0.00 |
| 99058 | 0% | 99 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 20 | $0.00 |
| 3017F | 0% | 39 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 19 | $0.00 |
| 1494F | 0% | 505 | $0.00 | |
| 3016F | 0% | 5,171 | $0.00 | |
| 1158F | 0% | 7,543 | $0.00 | |
| 3288F | 0% | 505 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 2,347 | $0.00 |
| 3725F | 0% | 7,375 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,099 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,386 | $0.00 |
| 1090F | 0% | 586 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 883 | $0.00 |
| 0521F | 0% | 2,102 | $0.00 | |
| 80061 | Lipid panel | 0% | 12 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 13 | $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 officialMARTINEZ, SERGIO (DR)
| Provider | Location | Paid |
|---|---|---|
| Easy Care Queens Medical, PC | Jackson Heights, NY | $1.33M |
| Yonkers General Medical Practice,pc | Yonkers, NY | $396K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.