Physician
Thomas, Sunny
Thomas, Sunny was paid $418K by Medicaid between May 2018 and Jul 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoTHOMAS, SUNNY
WARREN, PA 16365
WARREN, PA 16365
33aNPI1437131802assigned 11/18/2005
33bProvider typePediatrics Physician
28Total paid$418K
24GClaims14,978
24DCodes billed26
24AFirst – last monthMay 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#228 of 1,257
Median peer was paid$45K
This provider vs. median9.2×
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 | 34 | $771.80 | |
| 2019 | 16 | $570.10 | |
| 2020 | 740 | $18K | |
| 2021 | 4,594 | $126K | |
| 2022 | 5,472 | $152K | |
| 2023 | 3,943 | $117K | |
| 2024incomplete | 179 | $4K |
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 | 34% | 3,958 | 3,691 | $141K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 864 | 838 | $70K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 790 | 777 | $56K |
| 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 | 12% | 925 | 898 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 524 | 507 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 425 | 413 | $29K |
| 90670 | 1.3% | 370 | 369 | $5K | |
| 99173 | 1.2% | 1,804 | 1,777 | $5K | |
| 92551 | 1.1% | 1,720 | 1,697 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 416 | 409 | $3K |
| 90686 | <1% | 276 | 273 | $3K | |
| 90680 | <1% | 147 | 147 | $2K |
14 more codes
| 90688 | <1% | 143 | $1K | |
| 90698 | <1% | 104 | $1K | |
| 90633 | <1% | 109 | $1K | |
| 90697 | <1% | 76 | $825.00 | |
| 96161 | <1% | 190 | $677.91 | |
| 96160 | <1% | 820 | $638.44 | |
| 90619 | <1% | 31 | $276.14 | |
| 96127 | <1% | 537 | $202.43 | |
| 90710 | <1% | 14 | $121.00 | |
| 90696 | <1% | 12 | $88.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 413 | $75.19 |
| 80061 | Lipid panel | <1% | 193 | $5.00 |
| 83655 | 0% | 53 | $0.00 | |
| 86703 | 0% | 64 | $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.