Physician
Sunshine Pediatrics of Louisville LLC
Sunshine Pediatrics of Louisville LLC was paid $2.44M by Medicaid between Feb 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRICS OF LOUISVILLE LLC
PAINTSVILLE, KY 41240
PAINTSVILLE, KY 41240
33aNPI1437539145assigned 06/08/2015
33bProvider typeFamily Medicine Physician
28Total paid$2.44M
24GClaims67,107
24DCodes billed52
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#30 of 352
Median peer was paid$90K
This provider vs. median27×
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 | 1,385 | $43K | |
| 2019 | 6,271 | $176K | |
| 2020 | 8,490 | $275K | |
| 2021 | 10,160 | $353K | |
| 2022 | 12,826 | $470K | |
| 2023 | 14,113 | $559K | |
| 2024incomplete | 13,862 | $562K |
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 | 49% | 28,145 | 23,448 | $1.19M |
| 99441 | 9.1% | 5,488 | 5,030 | $221K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.3% | 1,291 | 1,243 | $106K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.1% | 1,028 | 992 | $100K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 1,275 | 1,178 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,141 | 1,116 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 1,085 | 1,057 | $84K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 1,204 | 1,053 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 2,419 | 2,235 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 4,500 | 4,293 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 679 | 667 | $60K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 1,730 | 1,678 | $49K |
40 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 2,515 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 2,396 | $38K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 801 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,480 | $23K |
| 99050 | <1% | 1,237 | $23K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,361 | $22K |
| 90686 | <1% | 1,330 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 717 | $10K |
| 99385 | <1% | 64 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 217 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,292 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 46 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 53 | $3K |
| 99386 | <1% | 26 | $2K | |
| 99383 | <1% | 18 | $2K | |
| 81000 | <1% | 442 | $1K | |
| 90656 | <1% | 69 | $1K | |
| 99188 | <1% | 27 | $400.95 | |
| 90670 | <1% | 509 | $290.27 | |
| 90677 | <1% | 84 | $250.00 | |
| 92567 | <1% | 14 | $164.16 | |
| 90619 | <1% | 92 | $160.79 | |
| 90697 | <1% | 202 | $132.77 | |
| 90715 | <1% | 89 | $75.02 | |
| 90633 | <1% | 587 | $59.73 | |
| 90648 | <1% | 332 | $52.99 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 68 | $7.33 |
| 90723 | <1% | 158 | $0.04 | |
| 90680 | <1% | 171 | $0.03 | |
| 90710 | 0% | 150 | $0.00 | |
| 90671 | 0% | 146 | $0.00 | |
| 90681 | 0% | 24 | $0.00 | |
| 90655 | 0% | 16 | $0.00 | |
| 90734 | 0% | 51 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 17 | $0.00 |
| 90658 | 0% | 99 | $0.00 | |
| 90651 | 0% | 177 | $0.00 | |
| 90716 | 0% | 18 | $0.00 | |
| 90620 | 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 officialBRANCH, CARLA (BILLING OFFICE MANAGER)