NP / PA
Earl Sumbler Memorial Healthcare Center
Earl Sumbler Memorial Healthcare Center was paid $59K by Medicaid between Jun 2022 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoEARL SUMBLER MEMORIAL HEALTHCARE CENTER
ALEXANDRIA, LA 71301
ALEXANDRIA, LA 71301
33aNPI1679232524assigned 12/08/2021
33bProvider typeFamily Nurse Practitioner
28Total paid$59K
24GClaims5,614
24DCodes billed14
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Louisiana
Rank by total paid#74 of 254
Median peer was paid$4K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2022 | 1,407 | $8K | |
| 2023 | 3,220 | $34K | |
| 2024incomplete | 987 | $16K |
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 | 82% | 2,510 | 1,421 | $48K |
| 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 | 9.3% | 266 | 139 | $5K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 740 | 519 | $883.89 |
| 84443 | Thyroid stimulating hormone (TSH) | 1.5% | 210 | 107 | $850.70 |
| 80053 | Comprehensive metabolic panel | 1.4% | 415 | 207 | $806.43 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 27 | 13 | $701.04 |
| 85004 | 1.0% | 408 | 209 | $614.74 | |
| 80061 | Lipid panel | <1% | 336 | 153 | $503.05 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 49 | 24 | $348.18 |
| 81005 | <1% | 315 | 158 | $161.36 | |
| 86702 | <1% | 48 | 24 | $127.54 | |
| 86695 | <1% | 35 | 12 | $29.43 |
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 officialSUMBLER, KIMBERLY (OWNER/AUTHORIZED OFFICIAL)