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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSunshine Pharmacy And Supplies Inc.
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    Sunshine Pharmacy And Supplies Inc. — Billing Profile & Reimbursement Data

    NPI 1629213418 · Miami, FL · Durable Medical Equipment & Medical Supplies

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    Sunshine Pharmacy And Supplies Inc. is a durable medical equipment & medical supplies provider located in Miami, Florida. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSunshine Pharmacy And Supplies Inc.
    Address8159 Nw 66th St
    CityMiami
    StateFL
    ZIP33166
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedDecember 8, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$28.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each101,300$60$5.7M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each96,360$50$5.1M
    A4554Disposable underpads, all sizes139,340$30$3.6M
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each46,290$60$2.9M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each49,310$40$2.2M
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each20,930$50$1.1M
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each15,900$70$1M
    A4927Gloves, non-sterile, per 100147,790$10$1M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each16,490$60$956.2K
    A4245Alcohol wipes, per box131,210$10$787.3K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1501,800$60$730.4K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1602,140$60$601K
    S5199Personal care item, nos, each4402,820$50$547.8K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each1402,490$70$526.8K
    A4554Disposable underpads, all sizes1803,420$30$414K
    A9900Miscellaneous dme supply, accessory, and/or service component of another hcpcs code22401,210$90$379.8K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each2401,710$40$342.5K
    T4541Incontinence product, disposable underpad, large, each420750$30$260.4K
    A4335Incontinence supply; miscellaneous3201,850$20$258.2K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each2301,970$70$254.8K

    Showing 1–10 of 28

    Nearby Providers

    Other providers in the same ZIP code as Sunshine Pharmacy And Supplies Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independent Living Systems LLCFLCase Management Agency$0$61.4M
    Cr & Ra Investments LLCFLHome Health Agency$0$54.8M
    Lora NamoffFLClinical Social Worker$0$20.9M
    All Services Home Health Agency, Inc.FLHome Health Agency$0$11.3M
    New Hope Case Management Services IncFLBehavior Analyst$0$10.2M
    Aaa Mental Health And Community Services LLCFLCommunity/Behavioral Health Agency$0$8M
    Forever Home Health Care, Inc.FLHome Health Agency$0$7.9M
    Relief Care Inc.FLIn Home Supportive Care Agency$0$7.6M
    Passion For Care & Services, IncFLBehavior Analyst$0$7.2M
    Genesis Medical Laboratory CorpFLClinical Medical Laboratory$2.2M$2.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Florida Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Sunshine Pharmacy And Supplies Inc. — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida