Physician
Sunnyside Pediatrics PLLC
Sunnyside Pediatrics PLLC was paid $2.26M by Medicaid between Jul 2020 and Dec 2024, across 71 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 18% of everything it billed.
33Billing provider infoSUNNYSIDE PEDIATRICS PLLC
CORPUS CHRISTI, TX 78414
CORPUS CHRISTI, TX 78414
33aNPI1588929764assigned 07/12/2012
33bProvider typePediatric Endocrinology Physician
28Total paid$2.26M
24GClaims210,507
24DCodes billed71
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatric Endocrinology Physician providers in Texas
Rank by total paid#2 of 9
Median peer was paid$270K
This provider vs. median8.4×
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 | 11,098 | $47K | |
| 2021 | 48,681 | $396K | |
| 2022 | 49,284 | $542K | |
| 2023 | 49,476 | $643K | |
| 2024incomplete | 51,968 | $631K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 5,892 | 5,159 | $416K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 5,054 | 4,331 | $345K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 3,930 | 3,433 | $297K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 28,082 | 23,648 | $205K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.2% | 2,315 | 2,003 | $185K |
| 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 | 6.6% | 14,881 | 13,395 | $150K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 10,491 | 9,079 | $98K |
| 99429 | 3.5% | 3,113 | 2,515 | $80K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 2,735 | 2,572 | $79K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 9,257 | 4,704 | $69K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 4,871 | 2,602 | $67K |
| 99381 | 2.7% | 867 | 743 | $62K |
59 more codes
| S8301 | Infection control supplies, not otherwise specified | 1.9% | 20,691 | $44K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 1,545 | $30K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 4,380 | $25K |
| 90474 | 1.0% | 2,850 | $23K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,557 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,025 | $15K |
| 99383 | <1% | 106 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 57 | $5K |
| 96160 | <1% | 8,201 | $5K | |
| 99051 | <1% | 3,273 | $4K | |
| 87807 | <1% | 1,901 | $4K | |
| 99382 | <1% | 36 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 130 | $3K |
| 0001A | <1% | 93 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 147 | $2K |
| 92551 | <1% | 6,373 | $2K | |
| 99384 | <1% | 18 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 358 | $1K |
| 90670 | <1% | 3,396 | $980.04 | |
| 0002A | <1% | 30 | $840.00 | |
| 90461 | <1% | 1,802 | $743.32 | |
| 99000 | <1% | 327 | $700.89 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,071 | $500.78 |
| 0112A | <1% | 13 | $480.00 | |
| 90680 | <1% | 2,966 | $426.00 | |
| 96381 | <1% | 44 | $425.25 | |
| 90621 | <1% | 374 | $384.45 | |
| 90686 | <1% | 2,974 | $364.33 | |
| 90734 | <1% | 826 | $333.02 | |
| 97802 | <1% | 2,400 | $130.33 | |
| 0111A | <1% | 16 | $120.00 | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $118.70 |
| 81002 | <1% | 154 | $85.22 | |
| 90744 | <1% | 672 | $30.04 | |
| 96127 | <1% | 5,544 | $13.32 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,325 | $10.50 |
| 90651 | <1% | 970 | $0.24 | |
| 90677 | <1% | 909 | $0.15 | |
| 90661 | <1% | 381 | $0.10 | |
| 90710 | 0% | 1,691 | $0.00 | |
| 90633 | 0% | 2,142 | $0.00 | |
| 90700 | 0% | 595 | $0.00 | |
| 99072 | 0% | 13,472 | $0.00 | |
| 99173 | 0% | 6,504 | $0.00 | |
| 90685 | 0% | 584 | $0.00 | |
| 90648 | 0% | 653 | $0.00 | |
| 91300 | 0% | 159 | $0.00 | |
| 90715 | 0% | 246 | $0.00 | |
| 90380 | 0% | 24 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 28 | $0.00 |
| 91308 | 0% | 27 | $0.00 | |
| 91311 | 0% | 38 | $0.00 | |
| 99188 | 0% | 31 | $0.00 | |
| 90697 | 0% | 2,008 | $0.00 | |
| 90696 | 0% | 514 | $0.00 | |
| 90698 | 0% | 1,239 | $0.00 | |
| 91307 | 0% | 28 | $0.00 | |
| 94760 | 0% | 61 | $0.00 | |
| 90656 | 0% | 26 | $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 officialACEVEDO-GRACIA, JESSICA (OWNER)