Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Fort Lee › NPI 1235233362
Physician

Sun Medical P.C

Sun Medical P.C was paid $421K by Medicaid between Jan 2018 and May 2022, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoSUN MEDICAL P.C
FORT LEE, NJ 07024
33aNPI1235233362assigned 09/11/2006
28Total paid$421K
24GClaims13,913
24DCodes billed24
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#142 of 1,027
Median peer was paid$30K
This provider vs. median14×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,154$177K
20195,930$175K
20202,037$59K
2022792$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 58% 4,156 3,682 $243K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 1,199 1,121 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.5% 1,280 1,245 $40K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 7.6% 460 459 $32K
99308 Subsequent nursing facility care, per day, straightforward 3.1% 1,212 688 $13K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2.2% 165 64 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.9% 605 586 $8K
93000 1.8% 621 616 $7K
90756 1.2% 223 220 $5K
36415 Collection of venous blood by venipuncture 1.1% 2,697 2,582 $5K
90658 <1% 152 148 $2K
90656 <1% 130 129 $2K
12 more codes
1124F 0% 94 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 160 $0.00
1159F 0% 90 $0.00
1160F 0% 90 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 85 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 171 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 35 $0.00
1101F 0% 113 $0.00
1126F 0% 26 $0.00
3074F 0% 49 $0.00
1170F 0% 80 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 20 $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 officialSUN, SUNG WOOK (M.D.)