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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLauren Sum
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    Lauren Sum — Billing Profile & Reimbursement Data

    NPI 1972522399 · Houston, TX · Podiatrist

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    Lauren Sum is a podiatrist provider located in Houston, Texas. This profile covers 24 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationLauren Sum
    Address9515 Bellaire Blvd Ste B
    CityHouston
    StateTX
    ZIP77036
    TaxonomyPodiatrist
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$104.4K
    Medicaid$810

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…470$70$31.4K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.340$30$11.4K
    99203The provider sees a new 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 provider…110$80$8.3K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.210$40$7.9K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…70$80$5.5K
    10140The provider makes an incision into the hematoma, seroma, or other collection of fluid and bluntly penetrates it to allow fluid evacuation.50$120$5.5K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.50$90$4.3K
    10061The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…30$150$4.2K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.70$50$3.9K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.30$120$3.6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1104270879090$70$13K
    10061103020$150$9K
    11721159630140$30$9K
    992131,81229,79070$60$8.4K
    1105616032070$60$8K
    9934853978060$50$6K
    9759715238060$60$5.9K
    11057608040$60$5.9K
    1172014122070$20$5.4K
    1014031020$120$5.3K

    Showing 1–10 of 24

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The provider sees a new 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 provider…20$50$810

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99203The provider sees a new 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 provider…1,6151,860130$70$65.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Segnik Group IncTXHome Health Agency$0$87.3M
    Pema Healthcare Services, IncTXHome Health Agency$0$64.6M
    Evergreen Healthcare Services, Inc.TXHome Health Agency$0$51.5M
    Advanced Healthcare Professionals, Inc.TXHome Health Agency$0$50.1M
    Asian American Health Coalition Of The Greater Houston AreaTXFederally Qualified Health Center (FQHC)$0$36.7M
    Favor Community Care Of Texas, IncTXPersonal Care Attendant$0$31.8M
    Reez Healthcare LLCTXHome Health Agency$0$26.6M
    Essence Health Care, Inc.TXHome Health Agency$0$21.1M
    Mm Tran, Inc.TXPersonal Care Attendant$0$20.8M
    Beloved Home Health Services,incTXExclusive Provider Organization$0$19.9M

    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. Texas Distribution
    Lauren Sum — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Lauren Sum — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas