Physician
Sun Coast Pediatric Care INC
Sun Coast Pediatric Care INC was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSUN COAST PEDIATRIC CARE INC
BROOKSVILLE, FL 34613
BROOKSVILLE, FL 34613
33aNPI1053454488assigned 02/15/2007
33bProvider typePediatrics Physician
28Total paid$1.31M
24GClaims24,471
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#221 of 971
Median peer was paid$238K
This provider vs. median5.5×
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 | 96 | $3K | |
| 2019 | 5,318 | $202K | |
| 2020 | 6,565 | $269K | |
| 2021 | 6,317 | $360K | |
| 2022 | 4,976 | $411K | |
| 2023 | 553 | $45K | |
| 2024incomplete | 646 | $25K |
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 | 39% | 10,411 | 8,858 | $509K |
| 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 | 27% | 4,916 | 4,522 | $359K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 1,123 | 1,106 | $129K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 909 | 891 | $110K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 780 | 742 | $90K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 606 | 559 | $61K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 2,152 | 2,052 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 228 | 218 | $7K |
| 99383 | <1% | 13 | 13 | $2K | |
| 99422 | <1% | 47 | 44 | $1K | |
| 92552 | <1% | 389 | 353 | $902.77 | |
| 90461 | <1% | 109 | 107 | $276.00 |
18 more codes
| 90716 | <1% | 114 | $122.02 | |
| 90649 | <1% | 180 | $118.76 | |
| 81002 | <1% | 79 | $75.02 | |
| 90707 | <1% | 101 | $70.92 | |
| 90658 | <1% | 126 | $50.00 | |
| 90700 | <1% | 90 | $25.80 | |
| 90715 | <1% | 14 | $10.00 | |
| 99173 | 0% | 499 | $0.00 | |
| 90648 | 0% | 387 | $0.00 | |
| 90670 | 0% | 366 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90713 | 0% | 27 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90620 | 0% | 375 | $0.00 | |
| 90723 | 0% | 171 | $0.00 | |
| 96127 | 0% | 115 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 90733 | 0% | 79 | $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 officialQURESHI, RIZWAN (PRESIDENT)