NP / PA
Sumner Community Club
Sumner Community Club was paid $190K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoSUMNER COMMUNITY CLUB
SUMNER, IA 50674
SUMNER, IA 50674
33aNPI1801818661assigned 07/24/2006
33bProvider typeNurse Practitioner
28Total paid$190K
24GClaims5,760
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Iowa
Rank by total paid#12 of 76
Median peer was paid$25K
This provider vs. median7.7×
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 | 699 | $23K | |
| 2019 | 463 | $15K | |
| 2020 | 495 | $15K | |
| 2021 | 700 | $24K | |
| 2022 | 1,595 | $52K | |
| 2023 | 1,176 | $37K | |
| 2024incomplete | 632 | $23K |
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 | 78% | 4,457 | 3,985 | $148K |
| 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 | 12% | 446 | 418 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 91 | 90 | $8K |
| 90686 | 2.1% | 286 | 280 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 343 | 334 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.2% | 27 | 27 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 12 | 12 | $709.44 |
| 36415 | Collection of venous blood by venipuncture | <1% | 56 | 53 | $118.58 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 30 | 28 | $0.00 |
| 91301 | 0% | 12 | 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.
From NPPES
Who's on the registration
Authorized officialEVERDING, DAWN (CHIEF FINANCIAL OFFICER)
Parent organizationSUMNER COMMUNITY CLUB
| Provider | Location | Paid |
|---|---|---|
| Sumner Community Club | Sumner, IA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.