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PROVIDER PROFILE · NPI 1093718942

Sean SumnerM.D.

PRACTICESLEEPMED, INCSee all providers at this practice →
Internal MedicineGainesville, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 117021
Home health agency
CCN 117305
Home health agency
CCN 110029
Hospital
CCN 115687
Nursing home
QUALITY · MIPS · 2024
Final MIPS score
78.3
Quality
71.9
Cost
76.5
Improvement activities
40.0
Promoting interop.
75.0
Payment adjustment
0.14%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
9,969
Beneficiaries
—
Total drug cost
$655K
Distinct drugs
124
Brand share
15.7%
Top prescribed drugs
Atorvastatin Calcium680 claims
Losartan Potassium610 claims
Amlodipine Besylate569 claims
Levothyroxine Sodium567 claims
Allopurinol380 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
6,915
Unique beneficiaries
—
Total services
14,808
Distinct HCPCS
61
Medicare payment
$347K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,751 Internal Medicine providers in GA — top quintile (cohort median 670).
REFERRAL NETWORK

Where Sean Sumner's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 33 inbound referrers · 58 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTHEAST GEORGIA MEDICAL CENTER, INC.2351,156
LAXSON, V. KAREN112799
Richard Cory
Diagnostic Radiology · Gainesville, GA
110295
Michael Reynolds
Dermatology · Gainesville, GA
3596
Abhishek Gaur
Cardiology · Gainesville, GA
31108
Wesley Head
Critical Care (Intensivists) · Gainesville, GA
31191
Jeffrey Terry
Internal Medicine · Gainesville, GA
2698
HOOPER, TREVOR25128
Salem Sayar
Clinical Cardiac Electrophysiology · Roseville, MI
25130
Daniel Cobb
Neurology · Gainesville, GA
25153
Craig Brown
Pulmonary Disease · Gainesville, GA
23255
Larry Payne
Ophthalmology · Gainesville, GA
2275
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHEAST GEORGIA MEDICAL CENTER, INC.2642,005
Brett Baudin
Diagnostic Radiology · Gainesville, GA
1901,035
David Carroll
Diagnostic Radiology · Gainesville, GA
1781,075
Richard Cory
Diagnostic Radiology · Gainesville, GA
143761
LAXSON, V. KAREN110636
NPI 155830470987424
FERGUSON, ROBERT65288
Lalitha Medepalli
Cardiology · Gainesville, GA
48368
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
43133
Larry Payne
Ophthalmology · Gainesville, GA
40223
Andre Kallab
Hematology-Oncology · Gainesville, GA
39835
Scott Clark
Gastroenterology · Gainesville, GA
36170
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.