Sun, Paul
Sun, Paul was paid $912K by Medicaid between Jan 2018 and Aug 2023, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 29% of everything it billed.
33Billing provider infoSUN, PAUL
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
33aNPI1861599193assigned 09/20/2006
33bProvider typeSpecialist
28Total paid$912K
24GClaims14,608
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#198 of 1,230
Median peer was paid$51K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2018 | 2,240 | $136K | |
| 2019 | 2,744 | $166K | |
| 2020 | 2,122 | $132K | |
| 2021 | 2,924 | $181K | |
| 2022 | 3,643 | $230K | |
| 2023 | 935 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 3,065 | 2,698 | $266K |
| 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 | 24% | 4,529 | 3,577 | $220K |
| 31231 | 23% | 3,310 | 3,118 | $207K | |
| 31575 | 16% | 1,482 | 1,460 | $150K | |
| 69210 | 6.6% | 2,141 | 1,915 | $60K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 81 | 77 | $8K |
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.