Physician
Sunset Medical PC
Sunset Medical PC was paid $596K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 45% of everything it billed.
33Billing provider infoSUNSET MEDICAL PC
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1740618552assigned 10/15/2013
33bProvider typeCardiovascular Disease Physician
28Total paid$596K
24GClaims14,431
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#95 of 1,564
Median peer was paid$13K
This provider vs. median46×
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 | 366 | $27K | |
| 2019 | 382 | $50K | |
| 2020 | 872 | $40K | |
| 2021 | 5,014 | $237K | |
| 2022 | 4,054 | $152K | |
| 2023 | 2,685 | $57K | |
| 2024incomplete | 1,058 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 45% | 1,133 | 1,127 | $270K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 2,517 | 1,734 | $156K |
| 94729 | 7.4% | 942 | 940 | $44K | |
| 94060 | 5.4% | 773 | 770 | $32K | |
| 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 | 3.9% | 213 | 172 | $23K |
| 94726 | 3.0% | 480 | 478 | $18K | |
| 94727 | 2.8% | 408 | 408 | $16K | |
| 94618 | 2.1% | 489 | 487 | $13K | |
| 94016 | 1.4% | 474 | 472 | $8K | |
| 94621 | 1.1% | 47 | 47 | $7K | |
| 94010 | <1% | 576 | 575 | $6K | |
| 92546 | <1% | 12 | 12 | $978.04 |
21 more codes
| 92540 | <1% | 12 | $800.10 | |
| 93000 | <1% | 45 | $632.44 | |
| 94200 | <1% | 533 | $556.63 | |
| 94375 | <1% | 488 | $376.61 | |
| 96138 | <1% | 14 | $207.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 309 | $87.99 |
| 81005 | <1% | 47 | $82.13 | |
| 92547 | <1% | 12 | $70.00 | |
| 92542 | <1% | 12 | $47.25 | |
| 94760 | <1% | 966 | $42.88 | |
| 3074F | <1% | 161 | $5.00 | |
| 3078F | <1% | 162 | $5.00 | |
| 94761 | <1% | 33 | $4.43 | |
| 2001F | 0% | 741 | $0.00 | |
| 2000F | 0% | 817 | $0.00 | |
| 99000 | 0% | 388 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 353 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 96132 | 0% | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 182 | $0.00 |
| 99071 | 0% | 1,066 | $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 officialSANCHEZ-PENA, JOSE (SECRETARY)