Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sunshine Pediatrics, LLC

Sunshine Pediatrics, LLC was paid $689K by Medicaid between Sep 2021 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider infoSUNSHINE PEDIATRICS, LLC
AUBURN, AL 36832
33aNPI1811595226assigned 10/16/2020
33bProvider typePediatrics Physician
28Total paid$689K
24GClaims16,950
24DCodes billed34
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#101 of 199
Median peer was paid$702K
This provider vs. median1.0×

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$20K$40K$60K2018201920202021202220232024
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
2021276$6K
20223,214$89K
20236,435$258K
2024incomplete7,025$337K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 3,508 3,005 $160K
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 19% 2,209 1,860 $130K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 713 586 $88K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.7% 885 801 $46K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 6.3% 300 220 $44K
87428 5.9% 985 886 $41K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.4% 436 358 $38K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.1% 574 525 $29K
92558 3.5% 1,186 1,091 $24K
96112 2.6% 241 218 $18K
87430 1.9% 1,108 1,010 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.8% 273 250 $12K
22 more codes
90698 1.2% 500 $8K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 289 $5K
90671 <1% 295 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 425 $5K
99383 <1% 73 $4K
90461 <1% 108 $4K
99173 <1% 1,025 $3K
90670 <1% 163 $3K
99382 <1% 30 $2K
87420 <1% 115 $1K
90680 <1% 60 $1K
90716 <1% 69 $1K
90744 <1% 68 $1K
90633 <1% 44 $771.81
90707 <1% 38 $653.07
99381 <1% 13 $504.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 49 $397.94
36416 <1% 176 $311.00
90686 <1% 14 $277.06
99177 <1% 936 $268.15
96127 <1% 28 $81.75
87400 <1% 14 $70.00

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 officialANGLIN, JESSICA (SOLE MEMBER)