Physician
Sunrise Pediatrics PC
Sunrise Pediatrics PC was paid $1.45M by Medicaid between Oct 2019 and Feb 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoSUNRISE PEDIATRICS PC
SHILLINGTON, PA 19607
SHILLINGTON, PA 19607
33aNPI1760699136assigned 05/16/2007
33bProvider typePediatrics Physician
28Total paid$1.45M
24GClaims63,184
24DCodes billed36
24AFirst – last monthOct 2019 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#68 of 1,257
Median peer was paid$45K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2019 | 69 | $4K | |
| 2020 | 3,916 | $83K | |
| 2021 | 19,913 | $423K | |
| 2022 | 19,790 | $448K | |
| 2023 | 18,261 | $453K | |
| 2024incomplete | 1,235 | $38K |
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 | 29% | 11,057 | 9,732 | $413K |
| 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 | 18% | 4,503 | 4,237 | $258K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,667 | 1,666 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,665 | 1,656 | $153K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 1,298 | 1,298 | $122K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 756 | 751 | $71K |
| 92551 | 3.0% | 5,848 | 5,818 | $43K | |
| 83655 | 2.9% | 4,736 | 4,710 | $42K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 5,377 | 5,353 | $35K |
| 99173 | 2.2% | 5,843 | 5,816 | $32K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 591 | 588 | $12K |
| 86580 | <1% | 4,740 | 4,713 | $11K |
24 more codes
| 99499 | <1% | 567 | $10K | |
| 90700 | <1% | 923 | $9K | |
| 81002 | <1% | 4,736 | $8K | |
| 85018 | <1% | 2,944 | $8K | |
| 90713 | <1% | 734 | $7K | |
| 90734 | <1% | 519 | $7K | |
| 90688 | <1% | 635 | $7K | |
| 90621 | <1% | 462 | $7K | |
| 90651 | <1% | 450 | $7K | |
| 90648 | <1% | 656 | $7K | |
| 90670 | <1% | 649 | $6K | |
| 90658 | <1% | 495 | $5K | |
| 90680 | <1% | 251 | $2K | |
| 90716 | <1% | 197 | $2K | |
| 90633 | <1% | 179 | $2K | |
| 90707 | <1% | 174 | $2K | |
| 90685 | <1% | 136 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 93 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $1K |
| 90715 | <1% | 80 | $730.00 | |
| 90744 | <1% | 63 | $613.00 | |
| 90649 | <1% | 65 | $590.00 | |
| 90657 | <1% | 27 | $253.95 |
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 officialVELAZQUEZ, MILKA (PRESIDENT)