Emergency Physicians at Sumner PLLC

Emergency Physicians at Sumner PLLC was paid $3.44M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.

33Billing provider infoEMERGENCY PHYSICIANS AT SUMNER PLLC
GALLATIN, TN 37066

33aNPI1538149521assigned 01/18/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$3.44M

24GClaims76,631

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Tennessee

Rank by total paid#2 of 15

Median peer was paid$70K

This provider vs. median49×

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	8,890	$388K
2019	8,681	$364K
2020	6,849	$299K
2021	11,696	$518K
2022	13,011	$572K
2023	14,935	$705K
2024incomplete	12,569	$589K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	52%	33,871	30,830	$1.78M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	34%	20,955	18,599	$1.18M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	12,429	11,709	$449K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	9,376	8,181	$27K

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.

From NPPES

Who's on the registration

Authorized officialLIFFERTH, GEOFFREY (PRESIDENT)