Physician
Sunstate Pediatrics
Sunstate Pediatrics was paid $336K by Medicaid between Jan 2019 and Jan 2021, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoSUNSTATE PEDIATRICS
LAKE MARY, FL 32746
LAKE MARY, FL 32746
33aNPI1902067879assigned 06/23/2008
33bProvider typePediatrics Physician
28Total paid$336K
24GClaims10,463
24DCodes billed23
24AFirst – last monthJan 2019 – Jan 2021
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#441 of 971
Median peer was paid$238K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 5,903 | $181K | |
| 2020 | 4,365 | $147K | |
| 2021 | 195 | $7K |
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 | 29% | 2,626 | 2,405 | $96K |
| 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% | 988 | 947 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 539 | 508 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 471 | 463 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 408 | 381 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 396 | 383 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 1,973 | 1,874 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 39 | 38 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 369 | 364 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 337 | 181 | $1K |
| 90685 | <1% | 74 | 71 | $19.00 | |
| 90670 | 0% | 280 | 275 | $0.00 |
11 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 officialRAISSI-FARD, EHTERAM (PRESIDENT)