Physician
Sunset Point Medical Associates INC
Sunset Point Medical Associates INC was paid $33K by Medicaid between Jan 2019 and Aug 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoSUNSET POINT MEDICAL ASSOCIATES INC
PALM HARBOR, FL 34684
PALM HARBOR, FL 34684
33aNPI1366641698assigned 07/17/2007
33bProvider typeFamily Medicine Physician
28Total paid$33K
24GClaims1,555
24DCodes billed7
24AFirst – last monthJan 2019 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#376 of 996
Median peer was paid$13K
This provider vs. median2.5×
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 | 114 | $365.88 | |
| 2020 | 324 | $8K | |
| 2021 | 229 | $9K | |
| 2022 | 419 | $11K | |
| 2023 | 353 | $3K | |
| 2024incomplete | 116 | $2K |
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 | 58% | 737 | 571 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 620 | 488 | $13K |
| 0001A | 2.2% | 20 | 19 | $720.00 | |
| 0002A | 2.0% | 19 | 19 | $668.39 | |
| 3074F | 0% | 89 | 53 | $0.00 | |
| 3008F | 0% | 14 | 13 | $0.00 | |
| 3078F | 0% | 56 | 25 | $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 officialSCHLAU, JULIE (ADMINISTRATOR)