Sun-Young, PLLC

Sun-Young, PLLC was paid $428K by Medicaid between Jan 2018 and Jul 2019, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoSUN-YOUNG, PLLC
COLUMBIA, TN 38401

33aNPI1871733667assigned 03/06/2009

33bProvider typeMedical Physician Assistant

28Total paid$428K

24GClaims28,275

24DCodes billed21

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other Medical Physician Assistant providers in Tennessee

Rank by total paid#5 of 62

Median peer was paid$13K

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
2018	17,967	$250K
2019	10,308	$179K

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	62%	15,697	12,807	$265K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed	13%	2,425	2,109	$57K
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	11%	1,751	1,443	$45K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	8.8%	4,080	3,412	$38K
80305		1.9%	1,077	1,045	$8K
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	<1%	83	59	$3K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	<1%	139	136	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	313	256	$2K
62370		<1%	85	72	$2K
96103		<1%	477	320	$1K
G0444	Annual depression screening, 5 to 15 minutes	<1%	601	412	$1K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	604	415	$1K

9 more codes

76942		<1%	80	$869.24
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	105	$684.14
99203	Doctor's office visit, new patient (routine)	<1%	16	$518.37
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	328	$272.63
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	55	$94.22
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	188	$92.48
96146		<1%	134	$25.77
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	23	$5.48
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	14	$1.94

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 officialYOUNG, DOUG (PARTNER)