Physician
Sunshine Pediatric Partners PLLC
Sunshine Pediatric Partners PLLC was paid $549K by Medicaid between Mar 2021 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRIC PARTNERS PLLC
SAGINAW, MI 48604
SAGINAW, MI 48604
33aNPI1205425584assigned 01/12/2021
33bProvider typePediatrics Physician
28Total paid$549K
24GClaims15,803
24DCodes billed33
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#151 of 349
Median peer was paid$321K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 2,667 | $71K | |
| 2022 | 5,250 | $154K | |
| 2023 | 5,224 | $197K | |
| 2024incomplete | 2,662 | $125K |
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 | 30% | 2,322 | 2,072 | $165K |
| 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% | 1,160 | 1,083 | $117K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 885 | 879 | $71K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 684 | 676 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 275 | 274 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 893 | 870 | $17K |
| 87631 | 3.0% | 286 | 281 | $16K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.8% | 240 | 236 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 1,431 | 1,402 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 312 | 307 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 665 | 658 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 542 | 271 | $7K |
21 more codes
| D0190 | <1% | 322 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 513 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 225 | $3K |
| 96127 | <1% | 1,046 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $3K |
| 99188 | <1% | 347 | $2K | |
| 87503 | <1% | 236 | $2K | |
| 90474 | <1% | 244 | $2K | |
| 87807 | <1% | 170 | $2K | |
| 96161 | <1% | 483 | $558.41 | |
| 83655 | <1% | 54 | $541.62 | |
| 85018 | <1% | 81 | $158.76 | |
| 90670 | 0% | 531 | $0.00 | |
| 90633 | 0% | 132 | $0.00 | |
| 90461 | 0% | 495 | $0.00 | |
| 90680 | 0% | 294 | $0.00 | |
| 90698 | 0% | 392 | $0.00 | |
| 90686 | 0% | 242 | $0.00 | |
| 90744 | 0% | 167 | $0.00 | |
| 90656 | 0% | 22 | $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 officialPACQUING, YVONNE (OWNER)