Blackmon, Sumpter

Blackmon, Sumpter was paid $46K by Medicaid between Jan 2018 and Feb 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoBLACKMON, SUMPTER
CAMDEN, AL 36726

33aNPI1972506194assigned 05/23/2005

33bProvider typeFamily Medicine Physician

28Total paid$46K

24GClaims1,019

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#238 of 455

Median peer was paid$57K

This provider vs. median0.8×

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	455	$21K
2019	277	$13K
2020	92	$3K
2021	175	$9K
2022	20	$858.00

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	69%	696	565	$32K
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	29%	247	217	$13K
0031A		1.8%	27	27	$834.07
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	36	33	$57.34
36415	Collection of venous blood by venipuncture	<1%	13	12	$26.00

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.