Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNSET MEDICAL PC

NPI: 1740618552 · BROOKLYN, NY 11220 · Cardiovascular Disease Physician · NPI assigned 10/15/2013

$596K
Total Medicaid Paid
14,431
Total Claims
12,249
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSANCHEZ-PENA, JOSE (SECRETARY)
NPI Enumeration Date10/15/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 366 $27K
2019 382 $50K
2020 872 $40K
2021 5,014 $237K
2022 4,054 $152K
2023 2,685 $57K
2024 1,058 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,133 1,127 $270K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,517 1,734 $156K
94729 942 940 $44K
94060 773 770 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 213 172 $23K
94726 480 478 $18K
94727 408 408 $16K
94618 489 487 $13K
94016 474 472 $8K
94621 47 47 $7K
94010 576 575 $6K
92546 12 12 $978.04
92540 12 12 $800.10
93000 45 45 $632.44
94200 533 530 $556.63
94375 488 486 $376.61
96138 14 14 $207.80
36415 Collection of venous blood by venipuncture 309 296 $87.99
81005 47 43 $82.13
92547 12 12 $70.00
92542 12 12 $47.25
94760 966 680 $42.88
3074F 161 135 $5.00
3078F 162 136 $5.00
94761 33 31 $4.43
2001F 741 504 $0.00
2000F 817 564 $0.00
99000 388 352 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 353 252 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 12 12 $0.00
96132 14 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 182 137 $0.00
99071 1,066 760 $0.00