Sunrise Pediatrics, LLC.

Sunrise Pediatrics, LLC. was paid $493K by Medicaid between Jan 2018 and Aug 2020, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoSUNRISE PEDIATRICS, LLC.
TULLAHOMA, TN 37388

33aNPI1932347556assigned 02/04/2009

33bProvider typeClinic/Center

28Total paid$493K

24GClaims18,943

24DCodes billed36

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Clinic/Center providers in Tennessee

Rank by total paid#17 of 70

Median peer was paid$72K

This provider vs. median6.9×

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	5,855	$169K
2019	8,355	$192K
2020	4,733	$132K

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	34%	4,876	3,316	$166K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	1,480	1,253	$54K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.2%	759	678	$46K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.2%	755	659	$45K
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	8.5%	844	631	$42K
96110	Developmental screening, with scoring and documentation, per standardized instrument	7.2%	1,223	1,104	$36K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.1%	494	407	$25K
92587		4.4%	985	805	$22K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.2%	876	631	$16K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	202	177	$14K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.2%	1,431	1,073	$11K
96127		1.2%	1,517	1,263	$6K

24 more codes

99173		<1%	807	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	153	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	31	$2K
90670		<1%	323	$1K
87807		<1%	97	$741.23
90461		<1%	746	$551.74
90680		<1%	85	$330.93
90723		<1%	83	$314.01
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	18	$236.15
85018		<1%	103	$176.93
90648		<1%	261	$174.11
90734		<1%	46	$170.95
90686		<1%	224	$133.50
81003		<1%	86	$124.86
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	12	$109.82
36416		<1%	104	$98.55
90633		<1%	41	$87.34
J7611	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg	<1%	18	$4.45
90707		0%	70	$0.00
90685		0%	16	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	118	$0.00
90716		0%	25	$0.00
90688		0%	16	$0.00
94761		0%	18	$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 officialESPINOZA, ROCIO (MEDICAL DOCTOR)