SEAN SUMSION, M.D.
Ophthalmology Physician · REDDING, CA
Individual Active NPI 1538504469
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,445 | 22,329 | $7,318,075 | $3,687,417 | $2,889,458 |
| 2023 | 1,336 | 15,753 | $6,519,211 | $3,186,062 | $2,487,968 |
| 2022 | 1,305 | 12,563 | $4,972,989 | $2,478,524 | $1,928,382 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 3,780 | $147 | $117 |
| 92134 | Imaging of retina | 2,109 | $43 | $32 |
| J0178 | Injection, aflibercept, 1 mg | 1,634 | $826 | $652 |
| 67028 | Injection of drug into eye | 1,333 | $120 | $97 |
| J0177 | Injection, aflibercept hd, 1 mg | 1,224 | $330 | $263 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,175 | $96 | $76 |
| 83516 | Analysis of substance using immunoassay technique, multiple step method | 1,157 | $11 | $11 |
| 83861 | Microfluid analysis of tears | 1,129 | $22 | $22 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 953 | $134 | $88 |
| 92012 | Established patient problem focused exam of visual system | 639 | $96 | $69 |
| 92083 | Exam of visual field with extended testing | 568 | $69 | $50 |
| 92133 | Imaging of optic nerve | 552 | $36 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 144812 | CA |
| Ophthalmology Physician | 207W00000X | Q9748 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in California
- NPI 1255326476
- NPI 1902891385
- NPI 1023088770
- NPI 1235124835
- NPI 1275989717
- NPI 1457334930
- NPI 1699725507
- NPI 1710936539
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.