Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Diego › NPI 1801258843
Physician

Karl Sun, M.D. INC.

Karl Sun, M.D. INC. was paid $76K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 52% of everything it billed.

33Billing provider infoKARL SUN, M.D. INC.
SAN DIEGO, CA 92120
33aNPI1801258843assigned 03/28/2016
28Total paid$76K
24GClaims2,607
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Nuclear Cardiology Physician providers in California

Rank by total paid#6 of 17
Median peer was paid$31K
This provider vs. median2.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018141$5K
2019105$4K
2020376$10K
2021438$12K
2022797$23K
2023684$21K
2024incomplete66$316.64
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 52% 987 978 $39K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 30% 933 287 $23K
99223 Prolong inpt eval add15 m 8.7% 149 149 $7K
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 6.4% 255 250 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 147 141 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.2% 110 92 $875.00
93016 <1% 13 13 $141.83
93018 <1% 13 13 $103.76

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 officialSUN, KARL (PHYSICIAN/OWNER)