Physician
Sunshine Pediatrics of NC PLLC
Sunshine Pediatrics of NC PLLC was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoSUNSHINE PEDIATRICS OF NC PLLC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1992018873assigned 07/20/2010
33bProvider typePediatrics Physician
28Total paid$2.27M
24GClaims111,528
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#147 of 433
Median peer was paid$942K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2018 | 15,195 | $462K | |
| 2019 | 9,953 | $396K | |
| 2020 | 5,740 | $201K | |
| 2021 | 12,212 | $198K | |
| 2022 | 24,939 | $409K | |
| 2023 | 17,354 | $151K | |
| 2024incomplete | 26,135 | $455K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 7,542 | 6,405 | $669K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 6,490 | 5,550 | $378K |
| 99199 | Unlisted special service, procedure or report | 14% | 57,326 | 35,574 | $328K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 2,022 | 1,905 | $177K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 1,750 | 1,668 | $150K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,415 | 1,304 | $122K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.6% | 2,383 | 1,735 | $81K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 5,186 | 2,082 | $64K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 2,362 | 2,215 | $56K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.5% | 1,907 | 1,770 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 504 | 456 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,521 | 1,425 | $28K |
52 more codes
| 92587 | 1.2% | 1,924 | $27K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,503 | $19K |
| 90474 | <1% | 890 | $17K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 195 | $12K |
| 87807 | <1% | 910 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,334 | $11K |
| 96127 | <1% | 1,455 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 82 | $3K |
| 83655 | <1% | 182 | $2K | |
| 96161 | <1% | 695 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 80 | $2K |
| 92552 | <1% | 1,449 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 81 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $1K |
| 85018 | <1% | 698 | $718.71 | |
| 99051 | <1% | 29 | $662.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $537.93 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 170 | $479.02 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 37 | $325.76 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $314.07 |
| 81025 | <1% | 30 | $210.60 | |
| 95117 | <1% | 14 | $124.93 | |
| 96160 | <1% | 30 | $105.10 | |
| 81005 | <1% | 80 | $81.49 | |
| 90686 | <1% | 593 | $36.18 | |
| 81003 | <1% | 18 | $5.82 | |
| 90633 | <1% | 671 | $0.01 | |
| 90647 | 0% | 458 | $0.00 | |
| 90716 | 0% | 171 | $0.00 | |
| 90697 | 0% | 233 | $0.00 | |
| 90680 | 0% | 321 | $0.00 | |
| 94760 | 0% | 315 | $0.00 | |
| 90723 | 0% | 810 | $0.00 | |
| 36416 | 0% | 622 | $0.00 | |
| 99174 | 0% | 1,820 | $0.00 | |
| 90696 | 0% | 59 | $0.00 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 37 | $0.00 |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 35 | $0.00 |
| 90677 | 0% | 244 | $0.00 | |
| A4616 | Tubing (oxygen), per foot | 0% | 35 | $0.00 |
| 90656 | 0% | 43 | $0.00 | |
| 90651 | 0% | 58 | $0.00 | |
| 90620 | 0% | 15 | $0.00 | |
| 90670 | 0% | 1,133 | $0.00 | |
| 90700 | 0% | 184 | $0.00 | |
| 90681 | 0% | 560 | $0.00 | |
| 90655 | 0% | 43 | $0.00 | |
| 87634 | 0% | 50 | $0.00 | |
| 90710 | 0% | 60 | $0.00 | |
| 90707 | 0% | 172 | $0.00 | |
| 90734 | 0% | 32 | $0.00 | |
| 90648 | 0% | 387 | $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 officialASEMOTA, OGIEMWONYI (PRACTICE OWNER/PHYSICIAN)