Sumner, Jonathan

Sumner, Jonathan was paid $9K by Medicaid between Jan 2018 and Apr 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSUMNER, JONATHAN
ROCKVILLE CENTRE, NY 11570

33aNPI1427030097assigned 11/18/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$9K

24GClaims351

24DCodes billed4

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#859 of 1,564

Median peer was paid$13K

This provider vs. median0.7×

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	17	$1K
2019	29	$1K
2020	48	$1K
2021	65	$1K
2022	166	$2K
2024incomplete	26	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	60%	170	149	$6K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	35%	42	41	$3K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	4.7%	124	121	$436.46
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	15	13	$0.00

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.