Physician
Sunrise Pediatric Associates
Sunrise Pediatric Associates was paid $429K by Medicaid between Jan 2018 and Aug 2021, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoSUNRISE PEDIATRIC ASSOCIATES
METAIRIE, LA 70002
METAIRIE, LA 70002
33aNPI1417907429assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$429K
24GClaims16,708
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#116 of 230
Median peer was paid$429K
This provider vs. median1.0×
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 | 5,379 | $139K | |
| 2019 | 5,567 | $138K | |
| 2020 | 3,669 | $93K | |
| 2021 | 2,093 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 5,263 | 4,557 | $239K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.5% | 1,543 | 1,390 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.1% | 2,511 | 2,363 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 388 | 366 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 324 | 308 | $22K |
| 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 | 3.4% | 217 | 201 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 952 | 412 | $11K |
| 92551 | 1.9% | 1,103 | 1,026 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 665 | 626 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 102 | 100 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 536 | 473 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 353 | 319 | $4K |
6 more codes
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 officialDANNA, NICHOLAS (PHYSICIAN)