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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGilbert Sunio
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    Gilbert Sunio — Billing Profile & Reimbursement Data

    NPI 1972500577 · Visalia, CA · Internal Medicine Physician

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    Gilbert Sunio is a internal medicine physician provider located in Visalia, California. This profile covers 28 Medicare and 0 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGilbert Sunio
    Address5510 W De Las Robles
    CityVisalia
    StateCA
    ZIP93291
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 28, 2005

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

    Payer SourceTotal Paid
    Medicare$227.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,120$90$101.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit190$140$25.8K
    J0897Injection, denosumab, 1 mg1,200$20$21.6K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,220$10$12.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…150$60$9.5K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…130$80$9.4K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes290$30$7.6K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$220$7.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$140$6.5K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes200$30$5.3K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08978481,0303,060$20$91.4K
    80061466700110$10$35.3K
    992141,23837,970120$90$23.2K
    992157,67515,36050$130$14.4K
    9921311,32234,66080$70$13.2K
    G04399287,80060$130$11.9K
    906941,2685,02050$70$7.7K
    994963661,28020$220$7.6K
    830366771,94050$10$7.6K
    9920413,70719,36040$120$7.2K

    Showing 1–10 of 28

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gilbert Sunio, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WatrousCARheumatology Physician$4M$5M
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Ian DuncanCAOrthopaedic Surgery Physician$2.2M$0
    Manisha MittalCARheumatology Physician$2M$0
    Robert HavardCAMedical Oncology Physician$1.9M$0
    Aditya VermaCACardiovascular Disease Physician$1.8M$0
    Richard DemeraCAAllergy & Immunology Physician$1.8M$0

    Nearby Providers

    Other providers in the same ZIP code as Gilbert Sunio, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$93.6M
    Kaweah Delta Health Care DistrictCAGeneral Acute Care Hospital$0$83.2M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$53.4M
    County Of TulareCAFederally Qualified Health Center (FQHC)$0$38M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$31.4M
    Shashi SharmaCAInterventional Cardiology Physician$3.6M$7.3K
    Muhammad ChaudhriCADiagnostic Radiology Physician$1.4M$0
    Robert AllenCAFamily Medicine Physician$866.7K$0
    Sierra Eye Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$784K$18K
    Vinod GuptaCASpecialist$789.8K$3.3K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Gilbert Sunio — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California