ANDREW SUMNER, MD
Cardiovascular Disease Physician · ALLENTOWN, PA
Individual Active NPI 1114975737
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 566 | 1,071 | $200,430 | $71,844 | $50,585 |
| 2023 | 558 | 1,066 | $178,795 | $73,731 | $52,188 |
| 2022 | 457 | 969 | $168,165 | $71,247 | $48,262 |
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 | 496 | $92 | $63 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 301 | $8 | $5 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 64 | $126 | $93 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 44 | $137 | $102 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 43 | $111 | $80 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 20 | $63 | $47 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 18 | $13 | $10 |
| 93248 | Heart rhythm review and interpretation of continous external ekg over 8-15 days | 16 | $24 | $18 |
| 99451 | Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes | 13 | $33 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | MD049881L | PA |
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.