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

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