Sumner Physician Practices LLC
Sumner Physician Practices LLC was paid $75K by Medicaid between Jan 2018 and Feb 2021, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
PORTLAND, TN 37148
Next to other Family Medicine Physician providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,788 | $41K | |
| 2019 | 746 | $25K | |
| 2020 | 219 | $8K | |
| 2021 | 16 | $761.81 |
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 | 53% | 1,118 | 824 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,227 | 928 | $32K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.8% | 197 | 147 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 13 | $525.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | 12 | $443.07 |
| 90686 | <1% | 31 | 26 | $288.35 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | 18 | $179.13 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 22 | 14 | $80.30 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 59 | 59 | $44.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 18 | 14 | $34.31 |
| 36415 | Collection of venous blood by venipuncture | <1% | 23 | 20 | $28.25 |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | 20 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.