PROVIDER PROFILE · NPI 1205896305

Susan Butler-SumnerM.D.

Family PracticeCave Spring, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

235

Unique beneficiaries

—

Total services

1,159

Distinct HCPCS

Medicare payment

$16K

Peer benchmark

Total Medicare services vs. 2,265 Family Practice providers in GA — top quintile (cohort median 688).

PRESCRIBING · PART D · 2024

Total Rx claims

8,377

Beneficiaries

—

Total drug cost

$934K

Distinct drugs

128

Brand share

23.7%

Top prescribed drugs

Gabapentin373 claims

Omeprazole325 claims

Metformin Hcl309 claims

Albuterol Sulfate304 claims

Pravastatin Sodium297 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 110168

Hospital

REFERRAL NETWORK

Where Susan Butler-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). 18 inbound referrers · 40 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
FLOYD HEALTHCARE MANAGEMENT INC	71	238
REDMOND PARK HOSPITAL, LLC	51	489
Michael Kizziah Diagnostic Radiology · Rome, GA	27	101
James Ware Cardiology · Rome, GA	24	115
Kevin Phillips Diagnostic Radiology · Rome, GA	23	53
Joseph Burch Diagnostic Radiology · Rome, GA	20	52
PRUETT, STEVEN	19	69
Hector Picon Interventional Cardiology · Rome, GA	19	70
HOSPITAL AUTHORITY OF FLOYD COUNTY	19	57
Rahul Garg Cardiology · Rome, GA	16	97
James Moseley Diagnostic Radiology · Rome, GA	16	38
Charles Baggett Cardiology · Rome, GA	15	45

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tucker, GA	216	678
FLOYD HEALTHCARE MANAGEMENT INC	69	215
REDMOND PARK HOSPITAL, LLC	56	582
DIAGNOSTIC SYSTEMS OF GEORGIA, LLC	45	175
DIAZ, ALFONSO	29	108
INSTANT DIAGNOSTIC SYSTEMS, INC.	27	114
Frank Stegall Internal Medicine · Rome, GA	26	87
James Ware Cardiology · Rome, GA	25	146
Kevin Phillips Diagnostic Radiology · Rome, GA	24	61
Daniel Gober Diagnostic Radiology · Rome, GA	21	58
Joe Hulsey Diagnostic Radiology · Rome, GA	20	73
Michael Kizziah Diagnostic Radiology · Rome, GA	19	83

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history