Physician
Sunrise Medical Clinic Professional Association
Sunrise Medical Clinic Professional Association was paid $3.29M by Medicaid between Aug 2018 and Oct 2024, across 18 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 51% of everything it billed.
33Billing provider infoSUNRISE MEDICAL CLINIC PROFESSIONAL ASSOCIATION
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1891029963assigned 09/23/2009
33bProvider typeInternal Medicine Physician
28Total paid$3.29M
24GClaims55,706
24DCodes billed18
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#13 of 1,028
Median peer was paid$10K
This provider vs. median316×
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 | 169 | $11K | |
| 2020 | 2,793 | $167K | |
| 2021 | 13,836 | $824K | |
| 2022 | 14,893 | $887K | |
| 2023 | 13,904 | $819K | |
| 2024incomplete | 10,111 | $586K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 51% | 9,624 | 9,037 | $1.67M |
| 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 | 17% | 11,071 | 9,403 | $565K |
| 93320 | 12% | 9,623 | 9,036 | $383K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.3% | 1,992 | 1,954 | $242K |
| 93325 | 5.5% | 9,867 | 9,193 | $181K | |
| 93000 | 3.2% | 8,785 | 8,526 | $104K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 1,751 | 1,594 | $64K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 130 | 129 | $21K |
| 99254 | <1% | 153 | 151 | $19K | |
| 93225 | <1% | 1,134 | 1,105 | $18K | |
| 93227 | <1% | 1,186 | 1,144 | $18K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 89 | 38 | $4K |
6 more codes
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 officialMATHAVAN, RAJEEV (CHAIRMAN)