SUMNER DOUGLAS, NP
Family Nurse Practitioner · MADISON, MS
Individual Active NPI 1548821333
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 461 | 1,246 | $345,343 | $244,543 | $192,701 |
| 2023 | 560 | 2,058 | $449,432 | $247,815 | $192,254 |
| 2022 | 551 | 4,024 | $1,344,420 | $1,140,064 | $906,219 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 392 | $86 | $66 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 245 | $57 | $44 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 149 | $125 | $96 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 70 | $43 | $32 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 67 | $89 | $70 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 35 | $111 | $87 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 24 | $78 | $61 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 18 | $109 | $85 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $70 | $55 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ✓ | 903149 | MS |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.