Physician
Sunstrum Medical Associates P.C.
Sunstrum Medical Associates P.C. was paid $31K by Medicaid between Jan 2018 and Apr 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoSUNSTRUM MEDICAL ASSOCIATES P.C.
DEARBORN, MI 48124
DEARBORN, MI 48124
33aNPI1548468002assigned 07/06/2007
33bProvider typeInfectious Disease Physician
28Total paid$31K
24GClaims604
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Infectious Disease Physician providers in Michigan
Rank by total paid#39 of 43
Median peer was paid$278K
This provider vs. median0.1×
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 | 100 | $6K | |
| 2019 | 226 | $10K | |
| 2020 | 165 | $7K | |
| 2021 | 84 | $5K | |
| 2022 | 29 | $2K |
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 | 93% | 458 | 442 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 15 | 15 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 75 | 75 | $696.68 |
| 36415 | Collection of venous blood by venipuncture | <1% | 56 | 56 | $148.12 |
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 officialSUNSTRUM, JAMES (PRESIDENT)