Sunset Medical Clinic INC

Sunset Medical Clinic INC was paid $59K by Medicaid between Nov 2018 and Sep 2023, across 4 billing codes. Its largest line is 47562, — 56% of everything it billed.

33Billing provider infoSUNSET MEDICAL CLINIC INC
WEST COVINA, CA 91790

33aNPI1700073103assigned 09/29/2007

33bProvider typeSurgery Physician

28Total paid$59K

24GClaims427

24DCodes billed4

24AFirst – last monthNov 2018 – Sep 2023

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#158 of 437

Median peer was paid$23K

This provider vs. median2.6×

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	29	$3K
2019	152	$28K
2020	75	$8K
2021	68	$13K
2022	44	$4K
2023	59	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
47562		56%	332	331	$33K
44180		42%	68	68	$25K
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%	14	14	$757.90
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$572.00

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 officialEDILLON, EDWIN (OWNER/SOLE PRACTIONER)