SUNRISE MEDICAL GROUP, PC
NPI: 1124107446
· SANTA ROSA, NM 88435
· 261QP2300X
$2.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,127 |
$540K |
| 2019 |
19,779 |
$799K |
| 2020 |
11,394 |
$584K |
| 2021 |
1,481 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
20,065 |
17,945 |
$977K |
| 99214 |
|
9,941 |
9,207 |
$630K |
| 90837 |
|
1,867 |
973 |
$161K |
| 99490 |
Ccm add 20min |
7,111 |
7,034 |
$61K |
| 99205 |
Prolong outpt/office vis |
288 |
282 |
$39K |
| 99204 |
|
171 |
168 |
$18K |
| 99203 |
|
211 |
211 |
$15K |
| 87804 |
|
780 |
388 |
$12K |
| 80305 |
|
1,141 |
1,105 |
$11K |
| 99202 |
|
171 |
170 |
$11K |
| 87880 |
|
655 |
645 |
$10K |
| 99394 |
|
96 |
95 |
$9K |
| 90674 |
|
525 |
523 |
$9K |
| 90471 |
|
378 |
368 |
$7K |
| 99395 |
|
54 |
53 |
$5K |
| 83036 |
|
941 |
927 |
$5K |
| 99211 |
|
466 |
239 |
$5K |
| 99396 |
|
38 |
38 |
$4K |
| 99215 |
Prolong outpt/office vis |
33 |
30 |
$3K |
| 90460 |
|
156 |
154 |
$3K |
| 90847 |
|
30 |
24 |
$3K |
| 82962 |
|
1,680 |
1,601 |
$3K |
| 99393 |
|
25 |
25 |
$3K |
| 99386 |
|
13 |
13 |
$2K |
| 99487 |
Ccm add 20min |
178 |
177 |
$2K |
| 95117 |
|
202 |
54 |
$2K |
| 99392 |
|
16 |
16 |
$2K |
| 90791 |
|
14 |
14 |
$1K |
| 96372 |
|
89 |
83 |
$1K |
| 90461 |
|
42 |
26 |
$921.50 |
| 93000 |
|
58 |
56 |
$687.25 |
| 99212 |
|
13 |
13 |
$505.55 |
| G0439 |
Ppps, subseq visit |
65 |
65 |
$389.08 |
| 99408 |
|
14 |
14 |
$212.71 |
| J3301 |
Triamcinolone acet inj nos |
37 |
37 |
$199.13 |
| 82044 |
|
73 |
72 |
$195.45 |
| 81002 |
|
68 |
64 |
$136.39 |
| G0008 |
Admin influenza virus vac |
76 |
76 |
$2.35 |