DANIEL SUMKO, D.O.
Orthopaedic Surgery Physician · LAYTON, UT
Individual Active NPI 1639552193
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 179 | 1,790 | $321,367 | $129,818 | $101,623 |
| 2023 | 175 | 1,723 | $340,875 | $134,387 | $104,849 |
| 2022 | 158 | 786 | $309,159 | $122,612 | $96,170 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 486 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 106 | $84 | $63 |
| 73502 | X-ray of hip, 2-3 views | 86 | $42 | $32 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 74 | $121 | $91 |
| 73564 | X-ray of knee, 4 or more views | 66 | $44 | $34 |
| 73562 | X-ray of knee, 3 views | 52 | $38 | $27 |
| 20610 | Aspiration and/or injection of fluid from large joint | 51 | $74 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $155 | $106 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 25 | $8 | $8 |
| 27447 | Replacement of knee joint, both sides of knee | 22 | $1,217 | $963 |
| 82306 | Vitamin d-3 level | 22 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 12244788-1204 | UT |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 12244788-1204 | UT | |
| Orthopaedic Surgery Physician | 207X00000X | OT016305 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | 008115 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery Physician providers in Utah
- NPI 1164408118
- NPI 1801598149
- NPI 1285455626
- NPI 1205812245
- NPI 1568435469
- NPI 1285610048
- NPI 1902941479
- NPI 1154842607
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.