SEAN SUMNER, M.D.
Internal Medicine Physician · GAINESVILLE, GA
Individual Active NPI 1093718942
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 491 | 21,057 | $1,126,395 | $433,533 | $358,608 |
| 2023 | 489 | 22,205 | $1,140,693 | $442,724 | $364,739 |
| 2022 | 535 | 19,330 | $1,209,017 | $474,610 | $393,790 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,408 | $119 | $82 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,194 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,170 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 1,165 | $10 | $10 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 1,151 | $16 | $16 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1,144 | $13 | $13 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 1,098 | $3 | $3 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 729 | $0 | $0 |
| 83036 | Hemoglobin a1c level | 535 | $10 | $10 |
| 84439 | Thyroxine (thyroid chemical), free | 355 | $9 | $9 |
| 84153 | Psa (prostate specific antigen) measurement, total | 333 | $18 | $18 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 331 | $13 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 45346 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.