Medicare Facts for Dr. Michael A. Sumsion, MD


National Provider Identifier [NPI]: 1699725507
Last Name Of The Provider SUMSION
First Name Of The Provider MICHAEL
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2801 PARK MARINA DR
Street Address 2 Of The Provider
City Of The Provider REDDING
Zip Code Of The Provider 960012822
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 98
Number Of Services 23259
Number Of Medicare Beneficiaries 3166
Total Submitted Charge Amount 5278999
Total Medicare Allowed Amount 2544375.15
Total Medicare Payment Amount 1894088.74
Total Medicare Standardized Payment Amount 1828925
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 4704
Number Of Medicare Beneficiaries With Drug Services 169
Total Drug Submitted ChargeAmount 763455
Total Drug Medicare AllowedAmount 466576.77
Total Drug Medicare PaymentAmount 365344.71
Total Drug Medicare Standardized Payment Amount 365344.71
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 91
Number Of Medical Services 18555
Number Of Medicare Beneficiaries With Medical Services 3166
Total Medical Submitted Charge Amount 4515544
Total Medical Medicare Allowed Amount 2077798.38
Total Medical Medicare Payment Amount 1528744.03
Total Medical Medicare Standardized Payment Amount 1463580.29
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 116
Number Of Beneficiaries Age 65 to 74 1117
Number Of Beneficiaries Age 75 to 84 1298
Number Of Beneficiaries Age Greater 84 635
Number Of Female Beneficiaries 1910
Number Of Male Beneficiaries 1256
Number Of Non Hispanic White Beneficiaries 2997
Number Of Black or African American Beneficiaries 13
Number Of AsianPacific Islander Beneficiaries 23
Number Of Hispanic Beneficiaries 85
Number Of American Indian Alaska Native Beneficiaries 27
Number Of Beneficiaries With Race Not Else where Classified 21
Number Of Beneficiaries With Medicare Only Entitlement 2928
Number Of Beneficiaries With Medicare Medicaid Entitlement 238
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 12
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 1
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0204

Doctor Directory | TOS | twitter | FB | Angel | blog