Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sun Country Pediatrics, PLLC

Sun Country Pediatrics, PLLC was paid $5.79M by Medicaid between Feb 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoSUN COUNTRY PEDIATRICS, PLLC
SPRING HILL, FL 34606
33aNPI1073821674assigned 09/16/2010
33bProvider typePediatrics Physician
28Total paid$5.79M
24GClaims246,549
24DCodes billed63
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#60 of 971
Median peer was paid$238K
This provider vs. median24×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
2018136$2K
201933,071$737K
202041,002$902K
202144,741$1.09M
202255,398$1.16M
202350,262$1.26M
2024incomplete21,939$645K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 52,096 42,658 $2.21M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 8,957 8,351 $763K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 7,593 6,355 $646K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.3% 5,391 5,011 $424K
90460 Immunization administration through 18 years of age via any route, first or only component 6.3% 18,450 16,671 $363K
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 4.4% 3,562 3,212 $254K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 4.0% 1,481 184 $230K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.5% 2,635 2,270 $203K
92587 2.4% 11,338 10,437 $137K
99381 1.2% 989 812 $69K
99051 1.1% 9,718 8,832 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 5,232 4,610 $61K
51 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,058 $50K
36416 <1% 5,920 $40K
90461 <1% 12,652 $33K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,931 $32K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 138 $26K
90670 <1% 4,338 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,165 $18K
99383 <1% 182 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 232 $13K
H0049 Alcohol and/or drug screening <1% 989 $13K
90716 <1% 2,636 $12K
97802 <1% 9,355 $10K
99382 <1% 126 $10K
99203 Doctor's office visit, new patient (routine) <1% 147 $9K
85018 <1% 4,457 $7K
81001 <1% 767 $7K
99384 <1% 76 $6K
87807 <1% 877 $5K
99174 <1% 21,467 $4K
96161 <1% 3,149 $3K
99460 <1% 44 $3K
90715 <1% 601 $2K
90686 <1% 2,676 $2K
90707 <1% 2,845 $2K
90696 <1% 1,330 $2K
90723 <1% 3,750 $1K
90633 <1% 2,825 $1K
96127 <1% 5,401 $994.61
90677 <1% 711 $979.27
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 19 $653.59
90680 <1% 3,354 $582.52
90651 <1% 1,260 $468.96
90648 <1% 5,119 $380.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 21 $360.15
99462 <1% 51 $260.36
90700 <1% 1,081 $235.47
90472 Immunization administration, each additional vaccine (list separately) <1% 13 $216.00
99177 <1% 2,814 $141.60
90656 <1% 99 $64.92
90734 <1% 1,250 $24.00
96380 <1% 27 $10.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 126 $6.48
81003 <1% 270 $2.02
83655 <1% 142 $0.59
3008F <1% 1,248 $0.06
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 32 $0.00
90868 0% 61 $0.00
96160 0% 48 $0.00
90713 0% 14 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 29 $0.00
99000 0% 184 $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 officialGRIFFEN, MICHAEL (OWNER)