Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sumner Physician Practices LLC

Sumner Physician Practices LLC was paid $4K by Medicaid between Apr 2023 and Nov 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoSUMNER PHYSICIAN PRACTICES LLC
GORDONSVILLE, TN 38563
33aNPI1740918630assigned 08/10/2022
28Total paid$4K
24GClaims489
24DCodes billed7
24AFirst – last monthApr 2023 – Nov 2023
Compared with peers

Next to other Rural Health Clinic/Center providers in Tennessee

Rank by total paid#84 of 96
Median peer was paid$127K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
2023489$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 97% 166 150 $4K
90686 2.9% 12 12 $119.70
3008F 0% 84 75 $0.00
1036F 0% 37 34 $0.00
1160F 0% 79 70 $0.00
3078F 0% 32 30 $0.00
1159F 0% 79 70 $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.

From NPPES

Who's on the registration

Authorized officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.