Sumrok, Daniel

Sumrok, Daniel was paid $899.71 by Medicaid between Jan 2020 and Apr 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoSUMROK, DANIEL
MC KENZIE, TN 38201

33aNPI1669461679assigned 10/21/2005

33bProvider typeAddiction Medicine (Psychiatry & Neurology) Physician

28Total paid$899.71

24GClaims111

24DCodes billed4

24AFirst – last monthJan 2020 – Apr 2020

Compared with peers

Next to other Addiction Medicine (Psychiatry & Neurology) Physician providers in Tennessee

Rank by total paid#8 of 8

Median peer was paid$89K

This provider vs. median0.0×

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
2020	111	$899.71

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	35	15	$500.07
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	29%	16	12	$260.33
90853	Group psychotherapy (other than of a multiple-family group)	15%	42	24	$139.31
80305		0%	18	12	$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.