Sun, John
Sun, John was paid $1.13M by Medicaid between Jan 2018 and Aug 2023, across 11 billing codes. Its largest line is 31575, — 20% of everything it billed.
33Billing provider infoSUN, JOHN
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
33aNPI1578664025assigned 09/26/2006
33bProvider typeSpecialist
28Total paid$1.13M
24GClaims17,292
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#175 of 1,230
Median peer was paid$51K
This provider vs. median22×
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 | 2,817 | $192K | |
| 2019 | 3,359 | $223K | |
| 2020 | 2,643 | $170K | |
| 2021 | 3,065 | $196K | |
| 2022 | 4,254 | $271K | |
| 2023 | 1,154 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31575 | 20% | 2,285 | 2,157 | $231K | |
| 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 | 19% | 4,340 | 3,394 | $217K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 18% | 2,289 | 1,930 | $202K |
| 31231 | 13% | 2,312 | 2,169 | $146K | |
| 99205 | Prolong outpt/office vis | 8.6% | 968 | 908 | $97K |
| 69210 | 7.7% | 2,683 | 2,504 | $88K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.0% | 865 | 792 | $57K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.0% | 404 | 395 | $34K |
| 92557 | 2.8% | 402 | 402 | $32K | |
| 92567 | 1.4% | 404 | 403 | $16K | |
| 92570 | 1.2% | 340 | 338 | $14K |
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.