Sunseri, Whitney

Sunseri, Whitney was paid $153K by Medicaid between Dec 2020 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoSUNSERI, WHITNEY
PITTSBURGH, PA 15224

33aNPI1538454566assigned 06/17/2011

33bProvider typePediatric Gastroenterology Physician

28Total paid$153K

24GClaims1,186

24DCodes billed7

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Pennsylvania

Rank by total paid#5 of 22

Median peer was paid$51K

This provider vs. median3.0×

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
2020	13	$2K
2021	203	$24K
2022	179	$20K
2023	312	$44K
2024incomplete	479	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	46%	699	695	$71K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	25%	286	285	$38K
99244	Office or other outpatient consultation, moderate to high complexity	15%	90	90	$22K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	6.9%	39	39	$11K
99223	Prolong inpt eval add15 m	2.8%	16	15	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.6%	32	15	$4K
99238	Hospital discharge day management, 30 minutes or less	1.8%	24	22	$3K

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.