Physician
Sumner Medical Group, PLLC
Sumner Medical Group, PLLC was paid $110K by Medicaid between Jan 2018 and Sep 2019, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 26% of everything it billed.
33Billing provider infoSUMNER MEDICAL GROUP, PLLC
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1871622779assigned 03/05/2007
33bProvider typeFamily Medicine Physician
28Total paid$110K
24GClaims5,808
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#234 of 754
Median peer was paid$34K
This provider vs. median3.2×
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 | 3,042 | $52K | |
| 2019 | 2,766 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 2,137 | 1,277 | $29K |
| 99220 | 26% | 478 | 437 | $28K | |
| 99217 | 19% | 758 | 696 | $21K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 961 | 677 | $17K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.0% | 530 | 509 | $8K |
| 99223 | Prolong inpt eval add15 m | 3.9% | 140 | 133 | $4K |
| 99225 | 1.7% | 70 | 40 | $2K | |
| 99226 | <1% | 17 | 12 | $547.77 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 52 | 52 | $0.00 |
| 1123F | 0% | 665 | 599 | $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 officialKING, ALTON (MEDICAL DIRECTOR)