Physician
Sunshine Pediatrics
Sunshine Pediatrics was paid $2.30M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRICS
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1629169693assigned 09/27/2006
33bProvider typePediatrics Physician
28Total paid$2.30M
24GClaims44,589
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#43 of 471
Median peer was paid$18K
This provider vs. median130×
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 | 7,136 | $293K | |
| 2019 | 7,254 | $313K | |
| 2020 | 4,812 | $229K | |
| 2021 | 6,230 | $322K | |
| 2022 | 6,710 | $394K | |
| 2023 | 7,279 | $434K | |
| 2024incomplete | 5,168 | $312K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 9,995 | 9,230 | $622K |
| 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 | 18% | 4,809 | 4,511 | $420K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 2,568 | 2,529 | $225K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 2,438 | 2,426 | $218K |
| G9153 | Mapcp demonstration - physician incentive pool | 8.7% | 2,868 | 2,866 | $200K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 2,148 | 2,144 | $189K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 6,621 | 6,550 | $182K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 1,114 | 1,103 | $111K |
| 90461 | 2.3% | 2,458 | 2,441 | $53K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 2,684 | 2,585 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 520 | 513 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 359 | 345 | $9K |
26 more codes
| 99381 | <1% | 38 | $4K | |
| 99051 | <1% | 238 | $3K | |
| 96127 | <1% | 268 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 175 | $1K |
| G8482 | Influenza immunization administered or previously received | <1% | 15 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 85 | $838.64 |
| 92552 | <1% | 13 | $292.80 | |
| 81002 | <1% | 13 | $37.96 | |
| 90677 | <1% | 223 | $4.22 | |
| 90734 | 0% | 269 | $0.00 | |
| 90671 | 0% | 79 | $0.00 | |
| 90670 | 0% | 1,148 | $0.00 | |
| 90707 | 0% | 184 | $0.00 | |
| 90633 | 0% | 281 | $0.00 | |
| 90380 | 0% | 13 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 90715 | 0% | 17 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90723 | 0% | 611 | $0.00 | |
| 90647 | 0% | 656 | $0.00 | |
| 90680 | 0% | 458 | $0.00 | |
| 90686 | 0% | 733 | $0.00 | |
| 90716 | 0% | 175 | $0.00 | |
| 90651 | 0% | 165 | $0.00 | |
| 90656 | 0% | 105 | $0.00 | |
| 90381 | 0% | 17 | $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 officialPATEL, SHAILA (ADMINISTRATOR)