SUNSTATE MANAGED CARE LLC
NPI: 1164875290
· PALM HARBOR, FL 34684
· Family Medicine Physician
· NPI assigned 07/13/2016
Provider Details
| Authorized Official | PAYNE, CHERYL (CFO) |
| NPI Enumeration Date | 07/13/2016 |
Related Entities
Other providers sharing the same authorized official: PAYNE, CHERYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
266 |
$0.38 |
| 2020 |
955 |
$120.23 |
| 2021 |
845 |
$2K |
| 2022 |
2,026 |
$98.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
30 |
30 |
$1K |
| 0002A |
|
23 |
23 |
$840.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,550 |
682 |
$201.14 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,682 |
1,131 |
$198.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.24 |
| 3074F |
|
162 |
46 |
$0.00 |
| 1157F |
|
33 |
33 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 3008F |
|
85 |
37 |
$0.00 |
| 1126F |
|
17 |
17 |
$0.00 |
| 1159F |
|
176 |
77 |
$0.00 |
| 3725F |
|
33 |
33 |
$0.00 |
| 1160F |
|
152 |
53 |
$0.00 |
| 3078F |
|
37 |
12 |
$0.00 |
| 1158F |
|
85 |
29 |
$0.00 |