Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Charles Sung MD PC

Charles Sung MD PC was paid $1.73M by Medicaid between Jan 2018 and Aug 2024, across 24 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 66% of everything it billed.

33Billing provider infoCHARLES SUNG MD PC
KENNEWICK, WA 99336
33aNPI1245358050assigned 03/27/2007
28Total paid$1.73M
24GClaims33,365
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Washington

Rank by total paid#3 of 73
Median peer was paid$69K
This provider vs. median25×

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$20K$40K$60K2018201920202021202220232024
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
201811,904$137K
20194,760$191K
20204,569$331K
20214,845$385K
20224,932$411K
20232,242$274K
2024incomplete113$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 66% 1,356 1,194 $1.14M
67028 Intravitreal injection of a pharmacologic agent 7.0% 4,620 3,912 $121K
J9035 Injection, bevacizumab, 10 mg 6.4% 2,304 1,988 $111K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.0% 2,505 2,286 $87K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.7% 3,668 3,305 $81K
92134 3.9% 6,561 6,061 $67K
92250 2.7% 3,412 3,106 $46K
92235 2.5% 1,434 1,344 $43K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.3% 434 408 $22K
J7999 Compounded drug, not otherwise classified <1% 119 112 $4K
67210 <1% 14 12 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 56 54 $1K
12 more codes
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 17 $611.80
76512 <1% 40 $590.64
67228 <1% 15 $551.97
92275 <1% 14 $362.60
1036F 0% 1,942 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 1,024 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 2,260 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 0% 180 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 1,063 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 182 $0.00
4004F 0% 132 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 13 $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 officialSUNG, CHARLES (MEDICAL DIRECTOR)