Medicaid Provider Spending

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

SUNRISE PEDIATRICS PLLC

NPI: 1295500387 · MOREHEAD CITY, NC 28557 · Pediatrics Physician · NPI assigned 11/17/2023

$41K
Total Medicaid Paid
2,747
Total Claims
1,685
Beneficiaries
5
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, HOLLY (PRACTICE MANAGER)
NPI Enumeration Date11/17/2023

Related Entities

Other providers sharing the same authorized official: THOMPSON, HOLLY

ProviderCityStateTotal Paid
ENT REALTY CORP FORT WAYNE IN $925K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,747 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 515 410 $26K
99199 Unlisted special service, procedure or report 2,154 1,223 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24 13 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 16 13 $368.10
96110 Developmental screening, with scoring and documentation, per standardized instrument 38 26 $229.23