Physician
Sun City Pediatrics, PA
Sun City Pediatrics, PA was paid $1.80M by Medicaid between Oct 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSUN CITY PEDIATRICS, PA
EL PASO, TX 79936
EL PASO, TX 79936
33aNPI1700993128assigned 08/23/2006
33bProvider typePediatrics Physician
28Total paid$1.80M
24GClaims58,869
24DCodes billed34
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#265 of 1,136
Median peer was paid$329K
This provider vs. median5.5×
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 | 30 | $219.52 | |
| 2020 | 1,836 | $53K | |
| 2021 | 16,172 | $471K | |
| 2022 | 15,004 | $465K | |
| 2023 | 14,897 | $461K | |
| 2024incomplete | 10,930 | $348K |
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 | 37% | 16,187 | 14,949 | $664K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 2,757 | 2,720 | $259K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,805 | 2,760 | $246K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 2,275 | 2,235 | $231K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.6% | 14,562 | 5,999 | $173K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 1,908 | 1,847 | $165K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 2,984 | 2,087 | $27K |
| 90461 | <1% | 3,627 | 3,043 | $14K | |
| 96161 | <1% | 2,442 | 2,386 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 134 | 132 | $4K |
| 0071A | <1% | 77 | 74 | $3K | |
| 0072A | <1% | 73 | 73 | $3K |
22 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $763.30 |
| 90677 | <1% | 333 | $761.79 | |
| 0081A | <1% | 14 | $560.00 | |
| 0073A | <1% | 14 | $520.00 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 21 | $475.00 |
| 90686 | <1% | 1,752 | $21.61 | |
| 90680 | 0% | 806 | $0.00 | |
| 90698 | 0% | 942 | $0.00 | |
| 90651 | 0% | 601 | $0.00 | |
| 90716 | 0% | 495 | $0.00 | |
| 90744 | 0% | 449 | $0.00 | |
| 91307 | 0% | 197 | $0.00 | |
| 90707 | 0% | 468 | $0.00 | |
| 90700 | 0% | 522 | $0.00 | |
| 90670 | 0% | 1,007 | $0.00 | |
| 90633 | 0% | 509 | $0.00 | |
| 90734 | 0% | 369 | $0.00 | |
| 90715 | 0% | 55 | $0.00 | |
| 90648 | 0% | 62 | $0.00 | |
| 90713 | 0% | 142 | $0.00 | |
| 90671 | 0% | 251 | $0.00 | |
| 91308 | 0% | 16 | $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 officialCOLON-DORDAL, RAMON (PRESIDENT)