Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNSHINE PEDIATRICS

NPI: 1629169693 · ROCK HILL, SC 29732 · Pediatrics Physician · NPI assigned 09/27/2006

$2.30M
Total Medicaid Paid
44,589
Total Claims
43,203
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, SHAILA (ADMINISTRATOR)
NPI Enumeration Date09/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,136 $293K
2019 7,254 $313K
2020 4,812 $229K
2021 6,230 $322K
2022 6,710 $394K
2023 7,279 $434K
2024 5,168 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,995 9,230 $622K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,809 4,511 $420K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,568 2,529 $225K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,438 2,426 $218K
G9153 Mapcp demonstration - physician incentive pool 2,868 2,866 $200K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,148 2,144 $189K
90460 Immunization administration through 18 years of age via any route, first or only component 6,621 6,550 $182K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,114 1,103 $111K
90461 2,458 2,441 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,684 2,585 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 520 513 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 359 345 $9K
99381 38 37 $4K
99051 238 231 $3K
96127 268 268 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 175 174 $1K
G8482 Influenza immunization administered or previously received 15 15 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 85 84 $838.64
92552 13 13 $292.80
81002 13 13 $37.96
90677 223 223 $4.22
90734 269 265 $0.00
90671 79 77 $0.00
90670 1,148 1,141 $0.00
90707 184 184 $0.00
90633 281 280 $0.00
90380 13 13 $0.00
90700 16 16 $0.00
90715 17 14 $0.00
90685 12 12 $0.00
90723 611 608 $0.00
90647 656 653 $0.00
90680 458 455 $0.00
90686 733 727 $0.00
90716 175 174 $0.00
90651 165 161 $0.00
90656 105 105 $0.00
90381 17 17 $0.00