PROVIDER PROFILE · NPI 1700871555

Randolph SumnerMD

PRACTICEHARBIN CLINIC LLCSee all providers at this practice →

Family PracticeRome, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,487

Unique beneficiaries

—

Total services

9,045

Distinct HCPCS

Medicare payment

$153K

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

9,394

Beneficiaries

—

Total drug cost

$1.0M

Distinct drugs

160

Brand share

23.5%

Top prescribed drugs

Atorvastatin Calcium378 claims

Amlodipine Besylate328 claims

Omeprazole301 claims

Pravastatin Sodium298 claims

Levothyroxine Sodium297 claims

QUALITY · MIPS · 2024

Final MIPS score

83.2

Quality

65.7

Cost

78.4

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.35%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

REFERRAL NETWORK

Where Randolph 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). 46 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
FLOYD HEALTHCARE MANAGEMENT INC	137	351
Douglas Page Nurse Practitioner · Rome, GA	124	203
REDMOND PARK HOSPITAL, LLC	109	294
WHITE, MICHAEL	81	157
Jina Ford Nurse Practitioner · Cedartown, GA	80	167
Kevin Phillips Diagnostic Radiology · Rome, GA	48	100
PRUETT, STEVEN	46	75
James Moseley Diagnostic Radiology · Rome, GA	45	91
James Ware Cardiology · Rome, GA	43	102
Michael Kizziah Diagnostic Radiology · Rome, GA	42	90
Mourad Nessim Internal Medicine · Rome, GA	33	110
Joseph Burch Diagnostic Radiology · Rome, GA	31	59

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