Physician
Sunset Medical Clinic LLC
Sunset Medical Clinic LLC was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoSUNSET MEDICAL CLINIC LLC
SUNSET, LA 70584
SUNSET, LA 70584
33aNPI1093702367assigned 10/03/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.49M
24GClaims45,309
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#38 of 417
Median peer was paid$63K
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
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 | 8,448 | $250K | |
| 2019 | 7,447 | $222K | |
| 2020 | 6,684 | $213K | |
| 2021 | 6,048 | $218K | |
| 2022 | 6,157 | $216K | |
| 2023 | 5,693 | $205K | |
| 2024incomplete | 4,832 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 22,241 | 18,795 | $984K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 15,215 | 13,260 | $441K |
| 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% | 244 | 210 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 325 | 254 | $10K |
| 90688 | <1% | 940 | 894 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 465 | 439 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 77 | 68 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 555 | 377 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 245 | 192 | $4K |
| 81003 | <1% | 2,986 | 2,553 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 540 | 455 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | 27 | $2K |
24 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 107 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $941.98 |
| 99499 | <1% | 12 | $108.00 | |
| 93000 | <1% | 12 | $104.56 | |
| 84703 | <1% | 23 | $89.64 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $85.88 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 29 | $27.54 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 68 | $25.85 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $0.85 |
| G0008 | Administration of influenza virus vaccine | 0% | 431 | $0.00 |
| 1000F | 0% | 53 | $0.00 | |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 132 | $0.00 |
| 1036F | 0% | 59 | $0.00 | |
| 3008F | 0% | 41 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 15 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 14 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 66 | $0.00 |
| 90662 | 0% | 14 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 133 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 29 | $0.00 |
| 1159F | 0% | 55 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 41 | $0.00 |
| 1160F | 0% | 55 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $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 officialDAIGLE, RANDY (PARTNER/MD)