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    OpenPayerNPI Medicare & MedicaidBradley Sumrall
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    Bradley Sumrall — Billing Profile & Reimbursement Data

    NPI 1679689301 · Macon, GA · Medical Oncology Physician

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    Bradley Sumrall is a medical oncology physician provider located in Macon, Georgia. This profile covers 83 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBradley Sumrall
    Address5430 Bowman Rd
    CityMacon
    StateGA
    ZIP31210
    TaxonomyMedical Oncology Physician
    NPI EnumeratedAugust 23, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is concentrated in high-cost oncology infusions: J9271, J9144, and J9299 together account for 71.3% of total Medicare revenue, and J9271 alone represents 45.7% of the provider’s Medicare take ($1.4M of $3.1M). The top codes are all infusion/injectable oncology agents (pembrolizumab, daratumumab, nivolumab), indicating the operation is centered on clinic-based biologic/immunotherapy administration rather than solely office evaluation visits.

    Medicare is effectively the sole payer on file for this provider: total Medicare revenue is $3.1M and there is no Medicaid billing on file. This makes the practice a single-payer (Medicare-dominant) operation in the dataset, suggesting its patient mix is weighted toward Medicare-eligible populations.

    The provider ranks as a major national user of pembrolizumab: J9271 has 32.6K claims, $43 avg paid/claim, $1.4M revenue and ranks #93 of 1841 providers nationally (95th percentile), described as “notably above typical national volume.” By contrast, the other two top revenue drivers J9144 (13.1% of revenue, $403.6K) and J9299 (12.5% of revenue, $383.5K) are at more typical national volumes (69th and 55th percentiles respectively), so the provider’s competitive strength is concentrated on pembrolizumab use.

    Beyond the three revenue leaders, the code mix shows a full-service oncology infusion practice with supportive care and diagnostic services. Notable entries include J0897 (denosumab, 5.8% of Medicare revenue, $179.3K, 88th percentile), various lab panels and imaging (80053, 85025, 74177), and supportive/injectable agents (J1439, J0885), indicating onsite administration plus ancillary testing and imaging tied to infusion care.

    Evaluation-and-management volumes are unusually high relative to national peers: 99214 accounts for $146.8K and ranks #2900 of 479517 providers (99th percentile; labeled an “extreme outlier”), while 99215 and 99205 also sit at the 98th and 97th percentiles respectively. These elevated E/M ranks suggest the practice couples high infusion throughput with frequent, relatively high-complexity office encounters for established and new patients.

    The provider shows adoption of biosimilars alongside originator biologics: Q5107 (bevacizumab biosimilar) produced $86.5K (rank #25 of 78, 69th percentile) and Q5119 (rituximab biosimilar) produced $49.3K (rank #119 of 335, 65th percentile), both described as typical volumes. In contrast, Q5111 (pegfilgrastim biosimilar) is a low-ranked product for this clinician (rank #117 of 123, 4th percentile), indicating selective biosimilar use by product.

    The provider has long tenure in Medicare: the NPI was enumerated on 2006-08-23 (~20 years ago), which supports interpretation of these volume patterns as established practice behavior rather than a short-term spike. Combined with concentrated revenue from high-cost immunotherapies, the data portray an experienced, infusion-focused oncology practice with pronounced strength in pembrolizumab administration.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    83 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg32,600$40$1.4M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj10,620$40$403.6K
    J9299Injection, nivolumab, 1 mg15,980$20$383.5K
    J0897Injection, denosumab, 1 mg9,960$20$179.3K
    99214The 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…1,610$90$146.8K
    Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg3,760$20$86.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…720$90$66.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…420$130$53.9K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg2,240$20$49.3K
    J1439Injection, ferric carboxymaltose, 1 mg39,750$1$39.8K

    Showing 1–10 of 83

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 83 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    83 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927154015,200$40$767.3K
    J929941015,910$20$431.3K
    J91443109,450$40$321.2K
    J0897412902,460$20$90.2K
    Q51072103,280$20$69.8K
    Q51192102,140$20$46.8K
    J143993028,130$1$32.3K
    Q5111410270$110$28.8K
    J08858303,970$10$26.6K
    964134160170$90$20.3K

    Showing 1–10 of 83

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bradley Sumrall, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    David SmithMDHematology & Oncology Physician$6.4M$0
    Stephen DiversARHematology & Oncology Physician$3.9M$1.5K
    Robert MuldoonARHematology & Oncology Physician$3.2M$0
    Linda HendricksGASpecialist$3.1M$0
    Sue TsudaARMedical Oncology Physician$3.1M$0

    Nearby Providers

    Other providers in the same ZIP code as Bradley Sumrall, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Pediatrics, PCGASpecialist$0$32.9M
    Cogent Healthcare Of Georgia PCGAInternal Medicine Physician$0$4.6M
    Harry MooreGAMedical Oncology Physician$2.9M$0
    Tara AdamsGANurse Practitioner$2.9M$0
    Macon Outpatient Surgery, LLCGAAmbulatory Surgical Clinic/Center$2.2M$0
    Georgia Em-i Medical Services PCGAPhysician Assistant$0$1.9M
    Steven AlleeGAOphthalmology Physician$1.7M$0
    Norman NelsonGAOphthalmology Physician$1.5M$0
    Central Georgia Cancer CareGASpecialist$0$1.2M
    Arpan BachhawatGARetina Specialist (Ophthalmology) Physician$1.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Bradley Sumrall — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia