Physician
Sumorok, Nicola
Sumorok, Nicola was paid $397K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoSUMOROK, NICOLA
SPRINGFIELD, MA 01105
SPRINGFIELD, MA 01105
33aNPI1699973404assigned 07/03/2007
33bProvider typeInternal Medicine Physician
28Total paid$397K
24GClaims8,898
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#90 of 1,270
Median peer was paid$8K
This provider vs. median48×
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 | 1,248 | $64K | |
| 2019 | 1,070 | $53K | |
| 2020 | 1,377 | $95K | |
| 2021 | 1,222 | $80K | |
| 2022 | 1,455 | $88K | |
| 2023 | 1,277 | $19K | |
| 2024incomplete | 1,249 | $0.00 |
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 | 68% | 5,070 | 4,980 | $269K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 3,375 | 3,333 | $127K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 64 | 64 | $1K |
| 99443 | 0% | 59 | 58 | $0.00 | |
| 99441 | 0% | 15 | 15 | $0.00 | |
| 99442 | 0% | 301 | 298 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 14 | 14 | $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.