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
ANDERSON, SC 29621
33aNPI1306097399assigned 10/08/2008
33bProvider typeFamily Medicine Physician
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
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 | 67 | $2K | |
| 2019 | 419 | $15K | |
| 2020 | 16 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.