Clinic
Sunshine Pediatrics
Sunshine Pediatrics was paid $554K by Medicaid between Jan 2020 and Jun 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRICS
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
33aNPI1760668081assigned 01/16/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$554K
24GClaims10,796
24DCodes billed29
24AFirst – last monthJan 2020 – Jun 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#31 of 112
Median peer was paid$200K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 3,168 | $140K | |
| 2021 | 2,924 | $150K | |
| 2022 | 3,479 | $190K | |
| 2023 | 1,225 | $75K |
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 | 27% | 1,766 | 1,622 | $148K |
| 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% | 1,049 | 974 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 622 | 613 | $66K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 571 | 542 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 280 | 276 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 331 | 312 | $33K |
| 92552 | 5.2% | 1,155 | 1,134 | $29K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 1,171 | 1,126 | $15K |
| 90686 | 2.6% | 647 | 635 | $15K | |
| 90670 | <1% | 228 | 225 | $5K | |
| 90698 | <1% | 197 | 194 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | 80 | $4K |
17 more codes
| 96127 | <1% | 544 | $3K | |
| 99173 | <1% | 1,311 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 195 | $2K |
| 0071A | <1% | 48 | $2K | |
| 0072A | <1% | 42 | $2K | |
| 90651 | <1% | 48 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 123 | $1K |
| 3008F | <1% | 194 | $729.00 | |
| 90734 | <1% | 26 | $582.00 | |
| 90680 | <1% | 24 | $535.44 | |
| 0002A | <1% | 13 | $520.00 | |
| 90687 | <1% | 14 | $279.36 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $255.85 |
| 99177 | <1% | 25 | $126.00 | |
| 92551 | <1% | 12 | $116.64 | |
| 91300 | 0% | 17 | $0.00 | |
| 91307 | 0% | 20 | $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 officialCLARK, MAIYA (OWNER)