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

Sunshine Pediatrics

Sunshine Pediatrics was paid $196K by Medicaid between Jan 2023 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoSUNSHINE PEDIATRICS
CANTONMENT, FL 32533
33aNPI1386689057assigned 06/18/2006
28Total paid$196K
24GClaims5,494
24DCodes billed20
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Florida

Rank by total paid#31 of 56
Median peer was paid$221K
This provider vs. median0.9×

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$10K$20K2018201920202021202220232024
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
20233,012$78K
2024incomplete2,482$117K
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 28% 1,626 1,470 $56K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15% 460 397 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15% 418 415 $29K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 1,076 992 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 346 330 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.9% 262 250 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 6.0% 760 729 $12K
90670 <1% 70 64 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 15 15 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 94 87 $565.59
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 12 $321.69
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 17 14 $9.93
8 more codes
90715 <1% 41 $0.05
90671 0% 96 $0.00
90710 0% 55 $0.00
90461 0% 17 $0.00
90697 0% 51 $0.00
96127 0% 34 $0.00
90696 0% 28 $0.00
90680 0% 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.

From NPPES

Who's on the registration

Authorized officialAFLAK, RAFAH (PROVIDER/OWNER)