Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNNYSIDE PEDIATRICS

NPI: 1275810780 · GRIFFIN, GA 30224 · Pediatrics Physician · NPI assigned 11/11/2011

$5.36M
Total Medicaid Paid
115,755
Total Claims
110,293
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATRE, PRABHUDEV (DIRECTOR)
NPI Enumeration Date11/11/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,883 $802K
2019 18,530 $841K
2020 17,097 $731K
2021 19,811 $873K
2022 17,455 $846K
2023 14,322 $686K
2024 11,657 $580K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,590 14,316 $1.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,484 8,021 $870K
90460 Immunization administration through 18 years of age via any route, first or only component 12,978 12,620 $630K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,434 5,317 $545K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,663 12,221 $530K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,391 4,325 $443K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,448 4,285 $424K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,376 3,299 $372K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,386 2,252 $87K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,183 2,046 $67K
99188 2,562 2,508 $44K
99381 415 399 $42K
96127 3,653 3,574 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,922 955 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,522 2,467 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,441 1,374 $27K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,687 1,591 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,476 1,417 $23K
96161 2,836 2,741 $11K
96160 1,413 1,342 $9K
99383 53 50 $6K
85018 1,833 1,790 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 87 79 $2K
99382 13 13 $1K
87807 91 88 $1K
81002 130 126 $438.75
90633 1,610 1,562 $365.06
90647 1,478 1,437 $289.08
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 176 137 $225.83
90473 12 12 $193.90
90649 134 132 $160.17
90670 3,810 3,718 $129.74
90723 1,610 1,562 $100.58
82962 13 12 $39.44
90698 284 272 $35.18
90686 1,284 1,239 $22.58
90651 1,545 1,499 $18.20
90710 476 460 $15.23
90707 154 150 $11.98
90687 183 175 $11.85
90672 15 13 $9.10
90680 2,308 2,252 $7.90
90685 323 318 $3.13
90715 352 346 $0.00
90734 1,315 1,289 $0.00
3725F 26 26 $0.00
90655 19 17 $0.00
5250F 16 14 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,125 2,072 $0.00
90697 699 683 $0.00
3008F 371 365 $0.00
90688 763 739 $0.00
90696 191 187 $0.00
90620 235 231 $0.00
90656 108 106 $0.00
90716 53 52 $0.00