Physician
Sunshine Pediatric and Family Clinic LLC
Sunshine Pediatric and Family Clinic LLC was paid $2.99M by Medicaid between Aug 2022 and Dec 2024, across 73 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 24% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRIC AND FAMILY CLINIC LLC
BREAUX BRIDGE, LA 70517
BREAUX BRIDGE, LA 70517
33aNPI1619618964assigned 04/01/2022
33bProvider typeFamily Medicine Physician
28Total paid$2.99M
24GClaims188,402
24DCodes billed73
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#22 of 417
Median peer was paid$63K
This provider vs. median47×
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 | |
|---|---|---|---|
| 2022 | 24,610 | $581K | |
| 2023 | 70,303 | $1.24M | |
| 2024incomplete | 93,489 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 24% | 15,847 | 8,167 | $717K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 22,132 | 16,266 | $555K |
| 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 | 7.0% | 4,133 | 3,437 | $210K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 4,627 | 3,646 | $192K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 12,201 | 9,155 | $185K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 4,033 | 3,192 | $157K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.5% | 1,258 | 1,034 | $135K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 3,224 | 2,423 | $127K |
| 98960 | 4.2% | 9,688 | 5,505 | $126K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 3,006 | 2,387 | $116K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 8,403 | 6,249 | $70K |
| 99188 | 1.8% | 4,806 | 3,416 | $54K |
61 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 5,450 | $42K |
| 92551 | 1.3% | 8,549 | $39K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 4,057 | $37K |
| 96160 | 1.1% | 4,087 | $34K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 8,096 | $32K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 332 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,158 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,037 | $15K |
| 99051 | <1% | 899 | $9K | |
| 99173 | <1% | 9,334 | $9K | |
| H2020 | Therapeutic behavioral services, per diem | <1% | 327 | $9K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 358 | $8K |
| 90474 | <1% | 1,157 | $7K | |
| 99381 | <1% | 110 | $7K | |
| 87807 | <1% | 1,397 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 207 | $6K |
| 97802 | <1% | 12,837 | $5K | |
| 54150 | <1% | 60 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 118 | $4K |
| H0049 | Alcohol and/or drug screening | <1% | 2,206 | $4K |
| 96161 | <1% | 742 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,562 | $3K |
| 99460 | <1% | 102 | $3K | |
| 99401 | <1% | 813 | $3K | |
| 96127 | <1% | 342 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 73 | $3K |
| 97803 | <1% | 6,949 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 48 | $2K |
| 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% | 1,098 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 71 | $720.83 |
| 99462 | <1% | 29 | $599.52 | |
| 81003 | <1% | 453 | $488.94 | |
| 90671 | <1% | 1,899 | $450.01 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $360.66 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 254 | $356.79 |
| 85018 | <1% | 1,944 | $225.96 | |
| 81025 | <1% | 55 | $224.65 | |
| 83655 | <1% | 1,633 | $156.50 | |
| 90473 | <1% | 48 | $125.16 | |
| 90686 | <1% | 1,475 | $124.17 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $55.54 |
| 90656 | <1% | 192 | $12.50 | |
| 90651 | <1% | 759 | $0.03 | |
| 90633 | <1% | 1,051 | $0.03 | |
| 90647 | <1% | 116 | $0.01 | |
| 90697 | 0% | 1,598 | $0.00 | |
| 90680 | 0% | 1,141 | $0.00 | |
| 90660 | 0% | 56 | $0.00 | |
| 90716 | 0% | 240 | $0.00 | |
| 90619 | 0% | 744 | $0.00 | |
| 90696 | 0% | 79 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 91307 | 0% | 23 | $0.00 | |
| 90621 | 0% | 367 | $0.00 | |
| 90670 | 0% | 618 | $0.00 | |
| 90707 | 0% | 202 | $0.00 | |
| 90700 | 0% | 214 | $0.00 | |
| 90715 | 0% | 76 | $0.00 | |
| 90710 | 0% | 64 | $0.00 | |
| 90672 | 0% | 19 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 57 | $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 officialYERASI, SRINIVASA (PEDIATRICIAN)