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

Sunshine, Thomas

Sunshine, Thomas was paid $19K by Medicaid between Dec 2018 and Aug 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoSUNSHINE, THOMAS
ANDERSON, SC 29621
33aNPI1306097399assigned 10/08/2008
28Total paid$19K
24GClaims502
24DCodes billed6
24AFirst – last monthDec 2018 – Aug 2020
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#327 of 696
Median peer was paid$14K
This provider vs. median1.3×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
201867$2K
2019419$15K
202016$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 72% 174 171 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 43 42 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8.5% 115 58 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7.1% 98 97 $1K
81003 <1% 57 56 $118.64
94760 0% 15 15 $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.