MICHAEL SUMSION, MD
Ophthalmology Physician · REDDING, CA
Individual Active NPI 1699725507
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,058 | 28,672 | $9,570,406 | $4,803,003 | $3,752,056 |
| 2023 | 2,026 | 22,646 | $8,298,384 | $4,113,875 | $3,200,915 |
| 2022 | 2,081 | 21,405 | $7,432,459 | $3,743,477 | $2,906,592 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 5,670 | $147 | $117 |
| 92134 | Imaging of retina | 3,474 | $42 | $32 |
| J0178 | Injection, aflibercept, 1 mg | 2,528 | $827 | $654 |
| 83516 | Analysis of substance using immunoassay technique, multiple step method | 2,103 | $11 | $11 |
| 83861 | Microfluid analysis of tears | 2,076 | $22 | $22 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,993 | $135 | $100 |
| 67028 | Injection of drug into eye | 1,762 | $120 | $97 |
| 92014 | Established patient complete exam of visual system | 1,148 | $135 | $87 |
| 92285 | Photography of content of eyes | 941 | $24 | $17 |
| 92133 | Imaging of optic nerve | 687 | $36 | $26 |
| 92083 | Exam of visual field with extended testing | 666 | $68 | $48 |
| J0177 | Injection, aflibercept hd, 1 mg | 616 | $331 | $264 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | G68804 | CA |
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.