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

Sun 'N Lake Medical Group,pa

Sun 'N Lake Medical Group,pa was paid $5.73M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoSUN 'N LAKE MEDICAL GROUP,PA
SEBRING, FL 33872
33aNPI1639375165assigned 06/22/2007
33bProvider typeRural Health Clinic/Center
28Total paid$5.73M
24GClaims217,885
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Florida

Rank by total paid#2 of 76
Median peer was paid$164K
This provider vs. median35×

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$50K$100K$150K2018201920202021202220232024
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
20182,069$25K
201932,904$931K
202030,646$856K
202136,349$957K
202246,505$1.09M
202345,736$1.08M
2024incomplete23,676$785K
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 30% 43,911 37,924 $1.72M
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 23% 29,342 25,828 $1.32M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.2% 5,233 5,146 $412K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.7% 4,935 4,526 $386K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.0% 4,368 4,279 $343K
97802 4.6% 13,806 12,991 $262K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.4% 3,187 3,148 $252K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 4,794 4,594 $163K
90460 Immunization administration through 18 years of age via any route, first or only component 1.9% 9,311 9,094 $111K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.9% 11,005 10,183 $110K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.5% 1,030 1,009 $84K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.3% 871 859 $77K
80 more codes
99381 <1% 636 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,727 $44K
99203 Doctor's office visit, new patient (routine) <1% 614 $42K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 535 $38K
99215 Doctor's office visit, returning patient (complex) <1% 571 $38K
90670 <1% 2,134 $37K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 3,028 $37K
99188 <1% 868 $17K
83036 Hemoglobin; glycosylated (A1C) <1% 1,613 $15K
90697 <1% 515 $14K
G0444 Annual depression screening, 5 to 15 minutes <1% 2,730 $13K
90686 <1% 1,320 $13K
90651 <1% 1,222 $12K
87807 <1% 1,720 $11K
36416 <1% 1,699 $11K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 8,408 $10K
90671 <1% 230 $10K
83655 <1% 1,429 $6K
99383 <1% 75 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 385 $6K
96127 <1% 2,136 $6K
81003 <1% 688 $5K
3074F <1% 2,187 $5K
90633 <1% 1,384 $5K
90710 <1% 1,174 $5K
3077F <1% 275 $3K
90698 <1% 1,905 $3K
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation <1% 167 $3K
90619 <1% 122 $2K
92551 <1% 338 $2K
90715 <1% 373 $2K
90696 <1% 318 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 187 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 589 $2K
3075F <1% 273 $2K
36415 Collection of venous blood by venipuncture <1% 959 $2K
99205 Prolong outpt/office vis <1% 13 $2K
99406 <1% 536 $1K
85018 <1% 1,539 $1K
3008F <1% 1,980 $1K
90621 <1% 257 $1K
99382 <1% 14 $1K
98960 <1% 95 $1K
90744 <1% 851 $954.40
90734 <1% 591 $662.86
G8783 Normal blood pressure reading documented, follow-up not required <1% 1,816 $631.29
99173 <1% 373 $623.38
G8708 Patient not prescribed antibiotic <1% 3,121 $601.80
90680 <1% 1,513 $537.29
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 58 $483.26
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 1,172 $365.61
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 2,305 $317.88
S9451 Exercise classes, non-physician provider, per session <1% 9,349 $298.88
93000 <1% 47 $254.45
G9744 Patient not eligible due to active diagnosis of hypertension <1% 1,799 $97.14
91301 <1% 16 $50.00
3079F <1% 783 $48.59
90723 <1% 13 $36.45
90656 <1% 13 $35.22
81002 <1% 28 $33.54
94760 <1% 29 $29.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 141 $1.28
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) <1% 2,245 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,572 $0.00
3078F 0% 2,010 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 641 $0.00
G8482 Influenza immunization administered or previously received 0% 767 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 106 $0.00
3288F 0% 179 $0.00
G9810 Patient achieved a pdc of at least 75% for their asthma controller medication 0% 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,523 $0.00
3044F 0% 360 $0.00
3080F 0% 205 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 67 $0.00
1111F 0% 193 $0.00
3017F 0% 33 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 69 $0.00
3014F 0% 30 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 81 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 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 officialBELTRE, MIGUEL (PRESIDENT)