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NPI 1427030097 · Rockville Centre, NY · Cardiovascular Disease Physician
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Jonathan Sumner is a cardiovascular disease physician provider located in Rockville Centre, New York. This profile covers 19 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jonathan Sumner |
| Address | 30 Hempstead Ave |
| City | Rockville Centre |
| State | NY |
| ZIP | 11570 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | November 18, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $96.1K |
| Medicaid | $9.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 360 | $110 | $38.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 70 | $150 | $11.4K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 50 | $230 | $10.6K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 50 | $180 | $9K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 40 | $180 | $6.4K |
| 93923 | Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.… | 50 | $120 | $5.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | $150 | $3.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 40 | $70 | $2.5K |
| 95925 | In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in the upper limbs. The provider records the resulting… | 20 | $170 | $2.5K |
| 92546 | The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal… | 20 | $120 | $1.8K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 1,524 | 1,990 | 200 | $110 | $30.7K |
| 99214 | 4,600 | 30,450 | 90 | $100 | $19K |
| 93880 | 903 | 1,730 | 50 | $140 | $14.5K |
| 93925 | 296 | 710 | 40 | $180 | $13.9K |
| 99213 | 23,067 | 31,440 | 80 | $70 | $12.1K |
| 92546 | 95 | 110 | 50 | $110 | $12.1K |
| G0439 | 5,135 | 6,290 | 50 | $130 | $11.2K |
| 95925 | 15 | 20 | 20 | $160 | $10.8K |
| 93970 | 893 | 1,590 | 40 | $100 | $8.6K |
| 93923 | 242 | 550 | 40 | $90 | $7.7K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 170 | $30 | $5.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 40 | $80 | $3.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 120 | $1 | $500 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 9,003 | 16,550 | 220 | $90 | $186.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 1,359 | 1,710 | 290 | $110 | $129.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,407 | 2,130 | 340 | $10 | $17.8K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 599 | 680 | 190 | $1 | $20 |
Other providers in the same ZIP code as Jonathan Sumner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| North Shore Lij, Urgent Care, P.C. | NY | Urgent Care Clinic/Center | $0 | $111.7M |
| Mercy Medical Center | NY | General Acute Care Hospital | $0 | $43.9M |
| Better Home Health Care Agency, Inc. | NY | Home Health Agency | $0 | $22.3M |
| Glenn Stoller | NY | Ophthalmology Physician | $4.6M | $637.1K |
| Emmanouil Vasilakis | NY | Orthopedic Physical Therapist | $648.6K | $4.3M |
| Angelito Tan | NY | Neurology Physician | $1.4M | $675.6K |
| Jeff Kopelman | NY | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | $287.1K | $1.1M |
| Todd Halper | NY | Family Medicine Physician | $1.1M | $196.6K |
| Charles Mitgang | NY | Internal Medicine Physician | $1M | $3K |
| Khawaja Hassan | NY | Plastic Surgery Physician | $1M | $0 |
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