Managed care
H.M. Sung M.D. INC.
H.M. Sung M.D. INC. was paid $67K by Medicaid between Jan 2018 and Aug 2024, across 27 billing codes. Its largest line is J7332, Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg — 31% of everything it billed.
33Billing provider infoH.M. SUNG M.D. INC.
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1922062074assigned 04/14/2006
33bProvider typePreferred Provider Organization
28Total paid$67K
24GClaims13,259
24DCodes billed27
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#55 of 100
Median peer was paid$80K
This provider vs. median0.8×
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 | 3,534 | $13K | |
| 2019 | 1,757 | $3K | |
| 2020 | 2,020 | $6K | |
| 2021 | 2,749 | $19K | |
| 2022 | 2,175 | $16K | |
| 2023 | 939 | $10K | |
| 2024incomplete | 85 | $882.18 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7332 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | 31% | 150 | 57 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 6,603 | 4,833 | $21K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.2% | 165 | 165 | $5K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 3.6% | 53 | 53 | $2K |
| 93880 | 3.3% | 160 | 160 | $2K | |
| 90756 | 2.7% | 330 | 326 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.1% | 71 | 70 | $1K |
| 96156 | 2.0% | 94 | 94 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 278 | 271 | $1K |
| 99497 | 1.7% | 149 | 149 | $1K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.4% | 183 | 182 | $966.13 |
| 20610 | 1.4% | 597 | 254 | $964.26 |
15 more codes
| 36415 | Collection of venous blood by venipuncture | 1.3% | 647 | $863.07 |
| 82947 | 1.3% | 2,015 | $854.45 | |
| 93000 | 1.2% | 231 | $810.21 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 1.2% | 95 | $801.17 |
| G0008 | Administration of influenza virus vaccine | 1.2% | 351 | $784.33 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 1.1% | 171 | $766.77 |
| 76770 | <1% | 158 | $650.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 174 | $583.62 |
| 90688 | <1% | 34 | $415.57 | |
| 93970 | <1% | 36 | $384.79 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 190 | $290.53 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 154 | $48.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 55 | $25.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 101 | $21.55 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $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 officialSUNG, ALAN (BUSINESS MANAGER)