Physician
Sunrise Medical Management LLC
Sunrise Medical Management LLC was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoSUNRISE MEDICAL MANAGEMENT LLC
PEORIA, AZ 85381
PEORIA, AZ 85381
33aNPI1326161548assigned 04/10/2007
33bProvider typeInternal Medicine Physician
28Total paid$2.28M
24GClaims57,037
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#29 of 395
Median peer was paid$68K
This provider vs. median34×
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 | 8,150 | $197K | |
| 2019 | 9,176 | $240K | |
| 2020 | 10,394 | $375K | |
| 2021 | 11,134 | $551K | |
| 2022 | 7,433 | $343K | |
| 2023 | 5,435 | $292K | |
| 2024incomplete | 5,315 | $287K |
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 | 21% | 9,311 | 8,709 | $474K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 20% | 8,262 | 2,887 | $465K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 10,595 | 3,863 | $424K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 14% | 2,504 | 581 | $314K |
| 99223 | Prolong inpt eval add15 m | 6.5% | 1,332 | 1,280 | $148K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.5% | 3,624 | 2,242 | $126K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 1,476 | 1,411 | $98K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 1,582 | 1,424 | $60K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.4% | 147 | 117 | $33K |
| 95117 | 1.3% | 3,406 | 2,167 | $30K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 362 | 346 | $28K |
| 94010 | 1.1% | 1,290 | 1,163 | $25K |
21 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 272 | $24K |
| 99497 | <1% | 371 | $10K | |
| 94375 | <1% | 173 | $6K | |
| 99401 | <1% | 130 | $4K | |
| 94729 | <1% | 94 | $3K | |
| 94726 | <1% | 81 | $3K | |
| 94760 | <1% | 4,800 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 26 | $2K |
| 94060 | <1% | 62 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 48 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 50 | $100.63 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 87 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 104 | $0.00 |
| 1036F | 0% | 1,848 | $0.00 | |
| G8925 | Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms | 0% | 31 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,216 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,228 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 140 | $0.00 |
| 3023F | 0% | 146 | $0.00 | |
| 4040F | 0% | 31 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 208 | $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 officialMEHTA, GIRISH (PRESIDENT)