Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNSHINE PEDIATRICS OF LOUISVILLE LLC

NPI: 1437539145 · PAINTSVILLE, KY 41240 · Family Medicine Physician · NPI assigned 06/08/2015

$2.44M
Total Medicaid Paid
67,107
Total Claims
59,166
Beneficiaries
52
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRANCH, CARLA (BILLING OFFICE MANAGER)
NPI Enumeration Date06/08/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,385 $43K
2019 6,271 $176K
2020 8,490 $275K
2021 10,160 $353K
2022 12,826 $470K
2023 14,113 $559K
2024 13,862 $562K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,145 23,448 $1.19M
99441 5,488 5,030 $221K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,291 1,243 $106K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,028 992 $100K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,275 1,178 $90K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,141 1,116 $88K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,085 1,057 $84K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,204 1,053 $79K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,419 2,235 $72K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,500 4,293 $71K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 679 667 $60K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,730 1,678 $49K
90472 Immunization administration, each additional vaccine (list separately) 2,515 2,399 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,396 1,865 $38K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 801 744 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,480 1,424 $23K
99050 1,237 1,038 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,361 839 $22K
90686 1,330 1,295 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 717 530 $10K
99385 64 63 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 217 193 $5K
36415 Collection of venous blood by venipuncture 1,292 1,240 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46 45 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 53 53 $3K
99386 26 24 $2K
99383 18 18 $2K
81000 442 397 $1K
90656 69 62 $1K
99188 27 27 $400.95
90670 509 491 $290.27
90677 84 82 $250.00
92567 14 13 $164.16
90619 92 91 $160.79
90697 202 201 $132.77
90715 89 88 $75.02
90633 587 557 $59.73
90648 332 318 $52.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg 68 59 $7.33
90723 158 147 $0.04
90680 171 160 $0.03
90710 150 148 $0.00
90671 146 143 $0.00
90681 24 24 $0.00
90655 16 16 $0.00
90734 51 50 $0.00
90707 12 12 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $0.00
90658 99 97 $0.00
90651 177 173 $0.00
90716 18 18 $0.00
90620 15 15 $0.00