What is Michael Sumida's specialty?

Michael Sumida (NPI 1609835115) is a Medicare-billing provider whose primary specialty is General Surgery in Athens, TN.

Where does Michael Sumida practice?

Michael Sumida practices in Athens, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1609835115.

How much does Medicare pay Michael Sumida?

Michael Sumida (NPI 1609835115) received approximately $54K in total Medicare Part B payments, serving 188 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1609835115

Michael SumidaM.D.

General SurgeryAthens, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

363

Unique beneficiaries

—

Total services

376

Distinct HCPCS

Medicare payment

$36K

Peer benchmark

Total Medicare services vs. 486 General Surgery providers in TN — top quintile (cohort median 282).

PRESCRIBING · PART D · 2024

Total Rx claims

128

Beneficiaries

—

Total drug cost

$880

Distinct drugs

Brand share

35.9%

Top prescribed drugs

Famotidine35 claims

Oxycodone Hcl/Acetaminophen35 claims

Pantoprazole Sodium26 claims

Omeprazole21 claims

Sulfamethoxazole/Trimethoprim11 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$17

Payment records

By payment type

Food and Beverage$17

Top paying entities

Food and Beverage$17

REFERRAL NETWORK

Where Michael Sumida'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). 9 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Pca Of Columbia, Inc. Clinical Laboratory · Columbia, TN	79	166
Athens Surgery Center Llc Ambulatory Surgical Center · Athens, TN	58	110
HEWGLEY, ROBERT	33	78
MCLEOD, LAURA	24	73
Robert Boehm Internal Medicine · Lenoir City, TN	22	61
Kimberly Borris Physician Assistant · Athens, TN	13	43
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	12	22
David Linn Emergency Medicine · Knoxville, TN	11	27
Timothy Collins Family Practice · Etowah, TN	11	51

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events