Physician
Sunrise Pediatrics, PLC
Sunrise Pediatrics, PLC was paid $307K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSUNRISE PEDIATRICS, PLC
GILBERT, AZ 85297
GILBERT, AZ 85297
33aNPI1144452079assigned 08/11/2009
33bProvider typePediatrics Physician
28Total paid$307K
24GClaims7,134
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#100 of 235
Median peer was paid$164K
This provider vs. median1.9×
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 | 1,129 | $40K | |
| 2019 | 1,286 | $44K | |
| 2020 | 1,015 | $39K | |
| 2021 | 993 | $46K | |
| 2022 | 1,147 | $59K | |
| 2023 | 1,065 | $54K | |
| 2024incomplete | 499 | $26K |
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 | 42% | 2,675 | 2,432 | $130K |
| 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 | 21% | 934 | 863 | $65K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 1,847 | 1,762 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 319 | 316 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 129 | 125 | $10K |
| 90461 | 1.9% | 176 | 163 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 85 | 76 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | 53 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | 24 | $2K |
| 0071A | <1% | 17 | 16 | $1K | |
| 0072A | <1% | 15 | 15 | $908.58 | |
| 99173 | <1% | 512 | 483 | $756.97 |
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 officialSHAH, SANJAY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Premier Pain Practice PLLC | Fayetteville, NC | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.