Sumner, Holly

Sumner, Holly was paid $254K by Medicaid between Jan 2018 and Jan 2021, across 5 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 34% of everything it billed.

33Billing provider infoSUMNER, HOLLY
LOUISVILLE, KY 40222

33aNPI1417387242assigned 11/14/2013

33bProvider typeClinical Social Worker

28Total paid$254K

24GClaims9,460

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#68 of 275

Median peer was paid$57K

This provider vs. median4.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	4,243	$81K
2019	3,342	$98K
2020	1,761	$70K
2021	114	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	34%	2,329	1,284	$87K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	32%	1,721	921	$82K
90853	Group psychotherapy (other than of a multiple-family group)	18%	4,677	1,606	$46K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	11%	672	420	$29K
T2023	Targeted case management; per month	4.1%	61	36	$10K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.