Physician
Sunshine Pediatrics of Ocala PA
Sunshine Pediatrics of Ocala PA was paid $736K by Medicaid between Feb 2019 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRICS OF OCALA PA
OCALA, FL 34471
OCALA, FL 34471
33aNPI1285915603assigned 08/30/2011
33bProvider typePediatrics Physician
28Total paid$736K
24GClaims25,306
24DCodes billed34
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#315 of 971
Median peer was paid$238K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2019 | 514 | $29K | |
| 2020 | 570 | $33K | |
| 2021 | 1,868 | $113K | |
| 2022 | 7,355 | $175K | |
| 2023 | 7,908 | $185K | |
| 2024incomplete | 7,091 | $202K |
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 | 42% | 7,259 | 6,605 | $306K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,239 | 1,222 | $93K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 959 | 939 | $71K |
| 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 | 9.2% | 1,350 | 1,278 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 854 | 784 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 578 | 555 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 2,118 | 2,061 | $39K |
| 97803 | 3.2% | 1,251 | 1,233 | $24K | |
| 99188 | 1.9% | 1,194 | 1,168 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | 139 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,052 | 891 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 256 | 255 | $4K |
22 more codes
| 92587 | <1% | 278 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 117 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $811.95 |
| 99381 | <1% | 17 | $475.06 | |
| 90461 | <1% | 843 | $304.00 | |
| 90686 | <1% | 372 | $81.10 | |
| 90716 | <1% | 74 | $78.60 | |
| 90700 | <1% | 511 | $75.76 | |
| 90648 | <1% | 263 | $23.12 | |
| 90707 | <1% | 89 | $20.00 | |
| 99174 | <1% | 1,971 | $12.38 | |
| 90713 | <1% | 324 | $10.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,535 | $0.00 |
| 90651 | 0% | 53 | $0.00 | |
| 90680 | 0% | 79 | $0.00 | |
| 90677 | 0% | 70 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 90744 | 0% | 59 | $0.00 | |
| 90633 | 0% | 127 | $0.00 | |
| 90670 | 0% | 205 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90734 | 0% | 30 | $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 officialSHRINATH, MADHUKAR (OWNER)