Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Maitland › NPI 1962411744
Physician

Sunshine Pediatrics of Central Florida, PL

Sunshine Pediatrics of Central Florida, PL was paid $959K by Medicaid between Jan 2019 and Dec 2024, across 30 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 23% of everything it billed.

33Billing provider infoSUNSHINE PEDIATRICS OF CENTRAL FLORIDA, PL
MAITLAND, FL 32751
33aNPI1962411744assigned 08/07/2006
33bProvider typePediatrics Physician
28Total paid$959K
24GClaims20,826
24DCodes billed30
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#272 of 971
Median peer was paid$238K
This provider vs. median4.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20194,514$179K
20203,271$142K
20213,827$178K
20223,927$182K
20233,462$171K
2024incomplete1,825$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 23% 2,620 2,560 $220K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 22% 2,699 2,436 $215K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 4,955 4,406 $203K
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% 2,633 2,482 $160K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 1,326 1,309 $109K
90460 Immunization administration through 18 years of age via any route, first or only component 2.0% 2,509 2,476 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 205 202 $17K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.1% 162 156 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 101 92 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 296 289 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 664 562 $1K
83655 <1% 114 110 $895.47
18 more codes
90670 <1% 564 $617.04
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 267 $261.25
90648 <1% 148 $247.00
90716 <1% 38 $182.02
81002 <1% 523 $135.40
90633 <1% 117 $112.29
90686 <1% 25 $77.97
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 207 $44.47
90707 <1% 79 $34.01
90723 <1% 29 $20.00
90461 0% 121 $0.00
99173 0% 157 $0.00
90700 0% 12 $0.00
80061 Lipid panel 0% 14 $0.00
36416 0% 173 $0.00
90697 0% 16 $0.00
99000 0% 22 $0.00
96127 0% 30 $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 officialRODRIGUEZ, RICHARD (OWNER)
Same official

Other billing entities under RODRIGUEZ, RICHARD

Full network →
ProviderLocationPaid
South Texas Ophthalmology & AssociatesSan Antonio, TX$31.92

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.