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

Sunflower Pediatrics, PC

Sunflower Pediatrics, PC was paid $630K by Medicaid between Jan 2018 and Oct 2020, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoSUNFLOWER PEDIATRICS, PC
MORRISON, CO 80465
33aNPI1831511088assigned 01/07/2014
33bProvider typePediatrics Physician
28Total paid$630K
24GClaims16,759
24DCodes billed31
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#53 of 186
Median peer was paid$68K
This provider vs. median9.3×

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$40K2018201920202021202220232024
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
20185,587$198K
20195,288$221K
20205,884$212K
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 24% 2,395 2,159 $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 21% 1,437 1,322 $129K
90460 Immunization administration through 18 years of age via any route, first or only component 15% 2,654 2,469 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 878 857 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 818 740 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.5% 319 309 $28K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4.2% 1,835 1,771 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.7% 113 107 $11K
99173 <1% 567 548 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 482 461 $5K
92552 <1% 459 447 $5K
99381 <1% 39 38 $4K
19 more codes
92283 <1% 290 $4K
36416 <1% 1,285 $3K
99000 <1% 1,209 $3K
85014 <1% 1,117 $3K
H0049 Alcohol and/or drug screening <1% 185 $2K
99215 Doctor's office visit, returning patient (complex) <1% 13 $2K
99383 <1% 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 91 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 58 $845.40
90670 <1% 30 $450.00
96127 <1% 25 $287.13
90698 <1% 21 $238.10
90686 <1% 223 $235.34
90680 <1% 18 $202.58
36415 Collection of venous blood by venipuncture <1% 53 $148.04
90461 <1% 84 $112.50
90744 <1% 12 $28.59
90633 0% 15 $0.00
90710 0% 22 $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 officialMATHAD, VEENA (CEO)