Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

East Sunrise Medical PLLC

East Sunrise Medical PLLC was paid $1.63M by Medicaid between Jan 2018 and Oct 2019, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoEAST SUNRISE MEDICAL PLLC
BROOKLYN, NY 11220
33aNPI1629491642assigned 01/27/2014
28Total paid$1.63M
24GClaims49,033
24DCodes billed52
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#171 of 6,049
Median peer was paid$11K
This provider vs. median144×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201838,721$1.33M
201910,312$298K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 13,174 9,825 $1.00M
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 9.7% 1,403 1,358 $159K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5.3% 752 751 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.0% 623 622 $65K
G0444 Annual depression screening, 5 to 15 minutes 2.9% 3,531 3,461 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 964 888 $45K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.6% 2,231 2,121 $43K
93000 1.6% 1,734 1,726 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.4% 1,127 871 $23K
94375 1.1% 459 455 $19K
90756 1.1% 776 775 $18K
90746 1.0% 255 255 $16K
40 more codes
99203 Doctor's office visit, new patient (routine) <1% 131 $14K
99406 <1% 1,042 $11K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 238 $10K
90715 <1% 197 $7K
H0049 Alcohol and/or drug screening <1% 592 $5K
36415 Collection of venous blood by venipuncture <1% 3,658 $5K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 182 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 276 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 2,217 $3K
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) <1% 172 $3K
83014 <1% 459 $3K
94010 <1% 103 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 82 $2K
H0001 Alcohol and/or drug assessment <1% 315 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,173 $2K
99051 <1% 186 $1K
90707 <1% 13 $1K
86580 <1% 125 $951.50
90674 <1% 36 $855.61
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes <1% 60 $853.56
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 27 $342.74
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 737 $103.58
G9459 Currently a tobacco non-user <1% 756 $47.09
3008F <1% 2,517 $0.01
3049F 0% 281 $0.00
1034F 0% 489 $0.00
1031F 0% 386 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 85 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,467 $0.00
2000F 0% 798 $0.00
1000F 0% 61 $0.00
1036F 0% 28 $0.00
G8482 Influenza immunization administered or previously received 0% 87 $0.00
3050F 0% 168 $0.00
3725F 0% 304 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 703 $0.00
G9276 Documentation that patient is a current tobacco user 0% 30 $0.00
1159F 0% 114 $0.00
97803 0% 1,696 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 0% 13 $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 officialLU, LI (DIRECTOR)