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

Sunflower Pediatric Clinic, PA

Sunflower Pediatric Clinic, PA was paid $260K by Medicaid between Oct 2021 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoSUNFLOWER PEDIATRIC CLINIC, PA
CEDAR PARK, TX 78613
33aNPI1457951501assigned 10/28/2020
33bProvider typePediatrics Physician
28Total paid$260K
24GClaims13,176
24DCodes billed33
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#603 of 1,136
Median peer was paid$329K
This provider vs. median0.8×

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$5.0K$10K$15K2018201920202021202220232024
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
2021138$1K
20222,476$56K
20235,513$108K
2024incomplete5,049$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 2,906 2,315 $95K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15% 638 552 $39K
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 14% 754 680 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 494 438 $34K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 1,989 1,107 $27K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.5% 270 242 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.5% 1,283 937 $6K
99000 1.7% 597 516 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 90 87 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 224 202 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 17 16 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 110 104 $909.95
21 more codes
90461 <1% 770 $892.83
83655 <1% 89 $488.16
87807 <1% 73 $385.00
92551 <1% 118 $352.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 69 $211.69
85018 <1% 183 $63.68
96161 <1% 507 $7.25
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 337 $1.01
90686 <1% 335 $0.02
96127 0% 391 $0.00
90677 0% 137 $0.00
90680 0% 93 $0.00
36415 Collection of venous blood by venipuncture 0% 119 $0.00
90697 0% 29 $0.00
90744 0% 16 $0.00
90698 0% 20 $0.00
99173 0% 169 $0.00
90670 0% 262 $0.00
90633 0% 57 $0.00
90700 0% 15 $0.00
90648 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 officialLIANG, ZHIYU (PEDIATRICIAN)