Sunga, Marcos

Sunga, Marcos was paid $129K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 59% of everything it billed.

33Billing provider infoSUNGA, MARCOS
ROSICLARE, IL 62982

33aNPI1255331625assigned 07/28/2005

33bProvider typeInternal Medicine Physician

28Total paid$129K

24GClaims6,082

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#592 of 3,722

Median peer was paid$26K

This provider vs. median5.0×

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
2018	1,312	$28K
2019	1,512	$27K
2020	973	$16K
2021	398	$10K
2022	518	$14K
2023	788	$18K
2024incomplete	581	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99282	Emergency department visit for the evaluation and management, low to moderate severity	59%	3,558	2,386	$76K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	37%	1,562	1,395	$48K
80053	Comprehensive metabolic panel	1.1%	273	239	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	205	182	$595.54
87276		<1%	67	65	$533.80
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	12	12	$484.00
87275		<1%	67	65	$425.00
71046	Radiologic examination, chest; 2 views	<1%	28	25	$307.44
84443	Thyroid stimulating hormone (TSH)	<1%	33	27	$262.72
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	23	14	$246.47
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	29	29	$227.65
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	25	13	$202.26

5 more codes

36415	Collection of venous blood by venipuncture	<1%	112	$182.86
80305		<1%	20	$97.44
81001		<1%	42	$61.49
87070		<1%	14	$43.40
83036	Hemoglobin; glycosylated (A1C)	<1%	12	$37.80

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.