Physician
Sunstate Managed Care LLC
Sunstate Managed Care LLC was paid $2K by Medicaid between Apr 2019 and Oct 2022, across 15 billing codes. Its largest line is 0001A, — 46% of everything it billed.
33Billing provider infoSUNSTATE MANAGED CARE LLC
PALM HARBOR, FL 34684
PALM HARBOR, FL 34684
33aNPI1164875290assigned 07/13/2016
33bProvider typeFamily Medicine Physician
28Total paid$2K
24GClaims4,092
24DCodes billed15
24AFirst – last monthApr 2019 – Oct 2022
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#715 of 996
Median peer was paid$13K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 266 | $0.38 | |
| 2020 | 955 | $120.23 | |
| 2021 | 845 | $2K | |
| 2022 | 2,026 | $98.90 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0001A | 46% | 30 | 30 | $1K | |
| 0002A | 37% | 23 | 23 | $840.00 | |
| 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 | 8.8% | 1,550 | 682 | $201.14 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 1,682 | 1,131 | $198.51 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $0.24 |
| 3074F | 0% | 162 | 46 | $0.00 | |
| 1157F | 0% | 33 | 33 | $0.00 | |
| 3079F | 0% | 15 | 15 | $0.00 | |
| 3008F | 0% | 85 | 37 | $0.00 | |
| 1126F | 0% | 17 | 17 | $0.00 | |
| 1159F | 0% | 176 | 77 | $0.00 | |
| 3725F | 0% | 33 | 33 | $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 officialPAYNE, CHERYL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Truhope.3 LLC | Catonsville, MD | $156K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.