Active NPI 1093718942 Individual Practitioner Male Practitioner

Dr. Sean M Sumner , MD

Internal Medicine • Gainesville, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sean Sumner, MD is a certified Internal Medicine practicing in Gainesville, GA. With approximately 32 years of clinical experience since graduating from Duke University School Of Medicine in 1994, Dr. Sumner delivers high-quality medical care to the local community at 1240 JESSE JEWELL PKWY SE.

Dr. Sumner is affiliated with Northeast Georgia Diagnostic Associates And Clinic, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1240 Jesse Jewell Pkwy Se
Ste 500

Gainesville, GA 305013861

Telephone 7705369864

Fax 7702975023

Associated Practice Facility / Clinic

🏢 Specialty Orthopaedics Surgery Center Facility NPI 1588620306

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +11.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

83 Specialists

Practicing in Gainesville, GA (4065 Statewide)

Telehealth Adoption Rate

24.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (32 Years) 32 Yrs

Gainesville Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,408	447	$256.00	$118.78
36415 Insertion of needle into vein for collection of blood sample	1,194	409	$10.00	$8.63
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,170	408	$27.00	$7.60
80053 Blood test, comprehensive group of blood chemicals	1,165	404	$36.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	1,151	407	$60.00	$16.44
80061 Blood test, lipids (cholesterol and triglycerides)	1,144	411	$55.00	$13.10
81001 Manual urinalysis test with examination using microscope, automated	1,098	401	$11.00	$3.10
J1010 Injection, methylprednisolone acetate, 1 mg	729	21	$0.34	$0.12
83036 Hemoglobin A1C level	535	225	$33.00	$9.50
84439 Thyroxine (thyroid chemical), free	355	143	$31.00	$8.82
84153 Psa (prostate specific antigen) measurement, total	333	175	$78.00	$17.97
93000 Routine ekg using at least 12 leads including interpretation and report	331	283	$40.00	$13.13
99497 Advance care planning, first 30 minutes	291	281	$207.00	$77.05
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	250	250	$65.00	$23.30
84550 Uric acid level, blood	236	106	$15.00	$4.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$276.00	$118.54
82043 Urine microalbumin (protein) level	195	85	$20.00	$5.66
82306 Vitamin d-3 level	194	151	$101.00	$29.01
G0008 Administration of influenza virus vaccine	185	181	$47.65	$30.39
90662 Influenza vaccine split virus, preservative free	184	180	$181.22	$81.34
71046 X-ray of chest, 2 views	156	132	$45.00	$20.20
82607 Cyanocobalamin (vitamin B-12) level	154	120	$51.00	$14.78
82570 Creatinine level to test for kidney function or muscle injury	152	81	$18.00	$5.08
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	121	72	$12.00	$4.18
J0696 Injection, ceftriaxone sodium, per 250 mg	116	28	$18.00	$0.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	85	$347.00	$168.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	51	$59.00	$12.90
86140 Measurement C-reactive protein for detection of infection or inflammation	111	61	$18.00	$5.08
85610 Blood test, clotting time	105	11	$13.00	$4.20
77067 Screening mammography	100	100	$227.78	$78.75
77063 Screening digital tomography of both breasts	100	100	$59.78	$20.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	98	88	$39.00	$15.60
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	84	82	$54.00	$15.60
83540 Iron level	84	51	$22.00	$6.34
82728 Ferritin (blood protein) level	84	51	$46.00	$13.36
83550 Iron binding capacity	84	51	$30.00	$8.57
87804 Detection test by immunoassay with direct visual observation for influenza virus	72	40	$41.00	$16.02
99213 Established patient office or other outpatient visit, typically 15 minutes	61	55	$173.00	$83.70
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	59	59	$54.00	$17.69
99496 Transitional care management services for problem of high complexity	51	43	$551.00	$252.23
83735 Magnesium level	44	35	$23.00	$6.57
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	38	16	$127.00	$50.77
93880 Ultrasound of both sides of head and neck blood flow	38	38	$403.84	$132.24
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	31	30	$88.00	$33.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	23	$128.00	$49.41
83970 Parathormone (parathyroid hormone) level	29	19	$141.00	$40.45
82550 Creatine kinase (cardiac enzyme) level, total	26	26	$22.00	$6.16
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$73.00	$34.44
84403 Testosterone (hormone) level, total	21	15	$88.00	$24.17
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	21	21	$128.00	$49.40
73502 X-ray of hip, 2-3 views	18	18	$68.00	$32.19
73564 X-ray of knee, 4 or more views	17	15	$62.00	$31.67
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$41.00	$12.57
J1030 Injection, methylprednisolone acetate, 40 mg	13	12	$9.00	$5.86
72114 X-ray lower and sacral spine, minimum of 6 views	13	13	$101.00	$40.62
70220 X-ray of paranasal sinus, minimum of 3 views	13	13	$55.00	$23.79
69209 Removal of impacted ear wax by washing	13	13	$51.31	$19.29
99495 Transitional care management services for problem of at least moderate complexity	12	12	$389.00	$191.69
86431 Rheumatoid factor level	12	12	$19.00	$5.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$411.00	$140.93
72050 X-ray of upper spine, 4 or 5 views	11	11	$110.00	$35.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,459	454	$256.00	$119.44
36415 Insertion of needle into vein for collection of blood sample	1,277	441	$10.00	$8.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,254	436	$27.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	1,242	434	$36.00	$10.32
80061 Blood test, lipids (cholesterol and triglycerides)	1,227	437	$55.00	$13.06
84443 Blood test, thyroid stimulating hormone (TSH)	1,219	433	$60.00	$16.45
81001 Manual urinalysis test with examination using microscope, automated	1,164	430	$11.00	$3.10
83036 Hemoglobin A1C level	466	206	$33.00	$9.46
84439 Thyroxine (thyroid chemical), free	373	154	$31.00	$8.82
93000 Routine ekg using at least 12 leads including interpretation and report	358	303	$40.00	$13.45
84153 Psa (prostate specific antigen) measurement, total	334	186	$78.00	$17.81
99497 Advance care planning, first 30 minutes	283	278	$207.00	$78.85
82043 Urine microalbumin (protein) level	235	94	$20.00	$5.66
84550 Uric acid level, blood	226	108	$15.00	$4.39
71046 X-ray of chest, 2 views	218	179	$45.00	$20.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$276.00	$121.04
82306 Vitamin d-3 level	210	168	$101.00	$28.75
82607 Cyanocobalamin (vitamin B-12) level	210	146	$51.00	$14.65
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	207	207	$65.00	$24.11
G0008 Administration of influenza virus vaccine	185	185	$40.00	$28.87
90662 Influenza vaccine split virus, preservative free	184	184	$120.00	$71.89
85610 Blood test, clotting time	154	19	$13.00	$4.20
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	146	85	$12.00	$4.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	98	$347.00	$169.35
86140 Measurement C-reactive protein for detection of infection or inflammation	117	59	$18.00	$4.93
77067 Screening mammography	100	100	$224.00	$81.85
77063 Screening digital tomography of both breasts	99	99	$56.00	$21.27
83550 Iron binding capacity	92	61	$30.00	$8.48
83540 Iron level	92	61	$22.00	$6.27
93793 Anticoagulant management of patient taking warfarin	91	15	$29.00	$10.83
82728 Ferritin (blood protein) level	91	61	$46.00	$13.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	37	$59.00	$13.02
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	79	79	$54.00	$17.69
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	71	30	$127.00	$51.77
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	55	55	$54.00	$15.60
93880 Ultrasound of both sides of head and neck blood flow	45	44	$468.00	$137.34
J0696 Injection, ceftriaxone sodium, per 250 mg	42	16	$18.00	$0.51
83970 Parathormone (parathyroid hormone) level	35	25	$141.00	$40.45
83735 Magnesium level	34	27	$23.00	$6.39
J1030 Injection, methylprednisolone acetate, 40 mg	31	25	$9.00	$7.23
82550 Creatine kinase (cardiac enzyme) level, total	28	23	$22.00	$5.77
84403 Testosterone (hormone) level, total	27	15	$88.00	$22.69
99496 Transitional care management services for problem of high complexity	24	23	$551.00	$259.28
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	20	20	$128.00	$50.28
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$173.00	$79.11
72110 X-ray of lower and sacral spine, minimum of 4 views	19	19	$73.00	$34.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	12	$128.00	$48.74
72114 X-ray lower and sacral spine, minimum of 6 views	17	16	$101.00	$38.97
86431 Rheumatoid factor level	17	17	$19.00	$5.26
73502 X-ray of hip, 2-3 views	16	16	$68.00	$30.92
73564 X-ray of knee, 4 or more views	15	14	$62.00	$31.78
99443 Telephone medical discussion with physician, 21-30 minutes	15	14	$276.00	$119.82
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$63.00	$18.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$411.00	$156.18
70220 X-ray of paranasal sinus, minimum of 3 views	11	11	$55.00	$24.35
69209 Removal of impacted ear wax by washing	11	11	$39.55	$17.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,562	482	$256.00	$120.95
36415 Insertion of needle into vein for collection of blood sample	1,279	446	$10.00	$2.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,244	440	$27.00	$7.66
80053 Blood test, comprehensive group of blood chemicals	1,243	442	$36.00	$10.42
80061 Blood test, lipids (cholesterol and triglycerides)	1,228	447	$55.00	$13.22
84443 Blood test, thyroid stimulating hormone (TSH)	1,214	442	$60.00	$16.57
81001 Manual urinalysis test with examination using microscope, automated	1,176	444	$11.00	$3.12
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,050	11	$0.50	$0.12
84439 Thyroxine (thyroid chemical), free	390	158	$31.00	$8.91
93000 Routine ekg using at least 12 leads including interpretation and report	383	335	$40.00	$13.37
83036 Hemoglobin A1C level	339	140	$33.00	$9.59
84153 Psa (prostate specific antigen) measurement, total	333	180	$78.00	$18.11
99497 Advance care planning, first 30 minutes	314	308	$207.00	$80.91
71046 X-ray of chest, 2 views	281	247	$45.00	$20.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	253	253	$276.00	$124.03
82043 Urine microalbumin (protein) level	226	90	$20.00	$5.71
82306 Vitamin d-3 level	218	169	$101.00	$29.22
84550 Uric acid level, blood	216	99	$15.00	$4.47
82607 Cyanocobalamin (vitamin B-12) level	213	148	$51.00	$14.90
G0008 Administration of influenza virus vaccine	202	200	$40.00	$27.18
90662 Influenza vaccine split virus, preservative free	200	198	$120.00	$68.51
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	182	182	$65.00	$24.84
85610 Blood test, clotting time	150	16	$13.00	$4.23
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	137	137	$54.00	$17.83
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	137	82	$12.00	$4.21
99213 Established patient office or other outpatient visit, typically 15 minutes	131	119	$173.00	$84.70
77067 Screening mammography	118	118	$224.00	$83.81
77063 Screening digital tomography of both breasts	117	117	$56.00	$21.26
86140 Measurement C-reactive protein for detection of infection or inflammation	116	64	$18.00	$5.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	90	$347.00	$172.72
83550 Iron binding capacity	94	71	$30.00	$8.54
82728 Ferritin (blood protein) level	94	71	$46.00	$13.46
83540 Iron level	94	71	$22.00	$6.32
93793 Anticoagulant management of patient taking warfarin	93	11	$29.00	$10.78
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	59	25	$127.00	$52.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	30	$59.00	$13.48
93880 Ultrasound of both sides of head and neck blood flow	52	52	$468.00	$140.48
99496 Transitional care management services for problem of high complexity	37	34	$551.00	$257.72
82550 Creatine kinase (cardiac enzyme) level, total	30	23	$22.00	$6.28
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	28	15	$34.00	$14.69
73564 X-ray of knee, 4 or more views	28	23	$62.00	$31.49
83735 Magnesium level	26	23	$23.00	$6.61
72110 X-ray of lower and sacral spine, minimum of 4 views	25	25	$73.00	$35.24
J1030 Injection, methylprednisolone acetate, 40 mg	23	19	$9.00	$6.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	20	$128.00	$49.96
99442 Telephone medical discussion with physician, 11-20 minutes	22	22	$190.00	$85.86
99443 Telephone medical discussion with physician, 21-30 minutes	22	18	$276.00	$121.87
84403 Testosterone (hormone) level, total	21	16	$88.00	$24.70
83970 Parathormone (parathyroid hormone) level	19	12	$141.00	$40.80
99495 Transitional care management services for problem of at least moderate complexity	16	15	$389.00	$195.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$411.00	$159.07
73630 X-ray of foot, minimum of 3 views	12	11	$46.00	$23.95
73502 X-ray of hip, 2-3 views	11	11	$68.00	$32.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,201	19	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,524	466	$256.00	$123.55
36415 Insertion of needle into vein for collection of blood sample	1,347	458	$10.00	$2.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,296	452	$27.00	$7.75
80053 Blood test, comprehensive group of blood chemicals	1,283	450	$36.00	$10.55
80061 Blood test, lipids (cholesterol and triglycerides)	1,256	454	$55.00	$13.35
81001 Manual urinalysis test with examination using microscope, automated	1,165	449	$11.00	$3.17
84443 Blood test, thyroid stimulating hormone (TSH)	985	446	$60.00	$16.77
93000 Routine ekg using at least 12 leads including interpretation and report	356	317	$40.00	$13.89
83036 Hemoglobin A1C level	341	147	$33.00	$9.71
84439 Thyroxine (thyroid chemical), free	339	163	$31.00	$8.97
99497 Advance care planning, first 30 minutes	318	314	$207.00	$82.17
71046 X-ray of chest, 2 views	303	263	$45.00	$20.56
84153 Psa (prostate specific antigen) measurement, total	275	176	$78.00	$18.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	247	247	$276.00	$127.02
82306 Vitamin d-3 level	238	181	$101.00	$29.50
G0008 Administration of influenza virus vaccine	217	216	$40.00	$15.67
90662 Influenza vaccine split virus, preservative free	216	215	$120.00	$64.94
84550 Uric acid level, blood	203	99	$15.00	$4.52
82043 Urine microalbumin (protein) level	203	85	$20.00	$5.78
85610 Blood test, clotting time	201	18	$13.00	$4.29
82607 Cyanocobalamin (vitamin B-12) level	167	127	$51.00	$15.01
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	160	160	$54.00	$18.05
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	146	89	$12.00	$4.27
93793 Anticoagulant management of patient taking warfarin	119	14	$29.00	$10.98
77067 Screening mammography	117	117	$224.00	$84.71
77063 Screening digital tomography of both breasts	116	116	$56.00	$22.42
86140 Measurement C-reactive protein for detection of infection or inflammation	105	52	$18.00	$5.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	84	$347.00	$172.99
99213 Established patient office or other outpatient visit, typically 15 minutes	103	88	$173.00	$84.87
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	100	100	$371.00	$121.04
J2785 Injection, regadenoson, 0.1 mg	92	23	$132.00	$59.39
82728 Ferritin (blood protein) level	76	45	$46.00	$13.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	76	33	$59.00	$13.40
83540 Iron level	76	45	$22.00	$6.47
83550 Iron binding capacity	76	45	$30.00	$8.63
93880 Ultrasound of both sides of head and neck blood flow	63	63	$468.00	$155.73
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	57	26	$127.00	$53.04
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	50	25	$281.00	$116.76
99443 Telephone medical discussion with physician, 21-30 minutes	43	39	$276.00	$124.89
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	41	17	$34.00	$14.99
99496 Transitional care management services for problem of high complexity	33	32	$551.00	$265.97
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	27	27	$107.00	$23.43
83735 Magnesium level	25	21	$23.00	$6.51
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	25	25	$924.00	$361.99
99442 Telephone medical discussion with physician, 11-20 minutes	24	23	$190.00	$87.95
J1030 Injection, methylprednisolone acetate, 40 mg	23	16	$9.00	$5.71
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$73.00	$34.24
69209 Removal of impacted ear wax by washing	23	21	$46.65	$18.62
83970 Parathormone (parathyroid hormone) level	22	17	$141.00	$41.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	20	$47.00	$21.23
84403 Testosterone (hormone) level, total	20	14	$88.00	$25.81
99358 Prolonged patient service without direct patient contact first hour	19	19	$310.00	$108.10
73564 X-ray of knee, 4 or more views	17	14	$62.00	$31.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	14	$128.00	$50.21
82550 Creatine kinase (cardiac enzyme) level, total	17	16	$22.00	$6.51
74177 Ct scan of abdomen and pelvis with contrast	17	16	$670.00	$221.02
99495 Transitional care management services for problem of at least moderate complexity	15	15	$389.00	$196.20
93225 Electrocardiogram (ecg) 2-day continuous	14	14	$85.00	$10.70
93226 Electrocardiogram (ecg) 2-day continuous with report	14	14	$150.00	$32.70
73502 X-ray of hip, 2-3 views	13	13	$68.00	$32.06
80048 Blood test, basic group of blood chemicals (calcium, total)	13	11	$29.00	$8.00
73030 X-ray of shoulder, minimum of 2 views	13	13	$43.00	$22.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$411.00	$146.87
72050 X-ray of upper spine, 4 or 5 views	11	11	$64.00	$35.47
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	11	11	$42.00	$15.74
76536 Ultrasound of head and neck	11	11	$200.00	$83.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,850	17	$0.50	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,438	471	$256.00	$104.72
36415 Insertion of needle into vein for collection of blood sample	1,030	448	$10.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,000	446	$27.00	$7.73
80053 Blood test, comprehensive group of blood chemicals	990	448	$36.00	$10.50
80061 Blood test, lipids (cholesterol and triglycerides)	982	450	$55.01	$13.26
84443 Blood test, thyroid stimulating hormone (TSH)	971	448	$59.24	$16.68
81001 Manual urinalysis test with examination using microscope, automated	874	428	$11.00	$3.14
84439 Thyroxine (thyroid chemical), free	322	158	$31.00	$8.94
93000 Routine ekg using at least 12 leads including interpretation and report	292	271	$40.00	$16.15
71046 X-ray of chest, 2 views	268	240	$45.00	$19.77
99497 Advance care planning, first 30 minutes	262	254	$207.00	$84.28
83036 Hemoglobin A1C level	257	127	$33.00	$9.58
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	243	238	$371.00	$120.66
84153 Psa (prostate specific antigen) measurement, total	234	163	$78.00	$18.10
J2785 Injection, regadenoson, 0.1 mg	224	56	$132.00	$58.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	221	221	$276.00	$111.86
G0008 Administration of influenza virus vaccine	218	214	$40.00	$15.90
90662 Influenza vaccine split virus, preservative free	215	211	$120.00	$60.19
85610 Blood test, clotting time	208	22	$13.00	$4.26
82306 Vitamin d-3 level	172	140	$101.00	$29.49
84550 Uric acid level, blood	172	98	$15.00	$4.47
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	147	147	$54.00	$17.91
82043 Urine microalbumin (protein) level	144	84	$20.00	$5.74
93793 Anticoagulant management of patient taking warfarin	142	18	$29.00	$11.44
82607 Cyanocobalamin (vitamin B-12) level	140	117	$51.00	$15.01
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	130	65	$281.00	$116.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	29	$59.00	$13.64
99358 Prolonged patient service without direct patient contact first hour	89	75	$310.00	$110.84
77067 Screening mammography	88	88	$235.25	$89.99
77063 Screening digital tomography of both breasts	87	87	$65.48	$22.73
99443 Telephone medical discussion with physician, 21-30 minutes	80	64	$258.40	$105.41
86140 Measurement C-reactive protein for detection of infection or inflammation	79	47	$18.00	$5.16
93880 Ultrasound of both sides of head and neck blood flow	74	73	$468.00	$182.86
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	71	53	$12.00	$4.25
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	69	69	$107.00	$23.36
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$173.00	$70.01
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	62	62	$924.00	$361.44
J3489 Injection, zoledronic acid, 1 mg	55	11	$103.00	$11.19
83540 Iron level	45	34	$22.00	$6.44
83550 Iron binding capacity	45	34	$30.00	$8.70
82728 Ferritin (blood protein) level	44	33	$46.00	$13.57
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	39	22	$120.49	$54.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	35	$47.00	$21.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	37	$347.00	$138.96
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	35	18	$34.00	$14.95
99442 Telephone medical discussion with physician, 11-20 minutes	35	31	$141.20	$70.74
83970 Parathormone (parathyroid hormone) level	32	25	$141.00	$41.25
82550 Creatine kinase (cardiac enzyme) level, total	28	23	$22.00	$6.31
72110 X-ray of lower and sacral spine, minimum of 4 views	27	26	$73.00	$32.04
93225 Electrocardiogram (ecg) 2-day continuous	21	21	$85.00	$17.49
93226 Electrocardiogram (ecg) 2-day continuous with report	21	21	$150.00	$32.62
84403 Testosterone (hormone) level, total	17	13	$88.00	$23.54
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$9.00	$6.15
83735 Magnesium level	14	14	$23.00	$6.67
70450 Ct scan head or brain without contrast	13	13	$325.00	$66.01
73502 X-ray of hip, 2-3 views	13	13	$68.00	$30.83
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$29.00	$8.43
J0280 Injection, aminophyllin, up to 250 mg	12	12	$18.00	$8.41
74177 Ct scan of abdomen and pelvis with contrast	12	12	$670.00	$214.18
99496 Transitional care management services for problem of high complexity	12	11	$551.00	$235.87
71250 Ct scan of chest without contrast	12	12	$410.00	$87.49
69209 Removal of impacted ear wax by washing	12	12	$36.25	$15.18
G0009 Administration of pneumococcal vaccine	11	11	$49.09	$15.74
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	11	11	$159.00	$65.66
86431 Rheumatoid factor level	11	11	$19.00	$5.63
76536 Ultrasound of head and neck	11	11	$200.00	$79.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,900	27	$0.50	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,709	492	$256.00	$103.80
36415 Insertion of needle into vein for collection of blood sample	1,423	480	$10.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,386	474	$27.00	$8.44
80053 Blood test, comprehensive group of blood chemicals	1,382	473	$36.00	$11.49
80061 Blood test, lipids (cholesterol and triglycerides)	1,330	472	$55.00	$14.52
84443 Blood test, thyroid stimulating hormone (TSH)	1,322	474	$57.00	$18.25
81001 Manual urinalysis test with examination using microscope, automated	1,258	466	$11.00	$3.43
84439 Thyroxine (thyroid chemical), free	486	188	$31.00	$9.77
93000 Routine ekg using at least 12 leads including interpretation and report	425	378	$40.00	$16.17
71046 X-ray of chest, 2 views	405	347	$45.00	$18.75
83036 Hemoglobin A1C level	376	157	$33.00	$10.41
99497 Advance care planning, first 30 minutes	365	360	$207.00	$83.38
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	351	339	$371.00	$120.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	311	311	$276.00	$112.18
G0008 Administration of influenza virus vaccine	311	309	$40.18	$15.59
90662 Influenza vaccine split virus, preservative free	302	301	$120.03	$54.87
85610 Blood test, clotting time	288	25	$13.00	$4.28
84153 Psa (prostate specific antigen) measurement, total	274	193	$78.00	$19.74
84550 Uric acid level, blood	259	111	$15.00	$4.83
J2785 Injection, regadenoson, 0.1 mg	244	60	$132.00	$56.60
93793 Anticoagulant management of patient taking warfarin	193	20	$29.00	$11.72
82306 Vitamin d-3 level	188	150	$101.00	$32.09
82607 Cyanocobalamin (vitamin B-12) level	185	146	$51.00	$16.27
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	183	91	$281.00	$113.40
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	172	172	$54.00	$17.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	163	57	$59.00	$15.89
77067 Screening mammography	141	141	$224.70	$89.61
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	138	84	$12.00	$4.16
82043 Urine microalbumin (protein) level	136	88	$20.00	$6.29
99358 Prolonged patient service without direct patient contact first hour	117	93	$310.00	$110.50
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	109	106	$107.00	$23.71
77063 Screening digital tomography of both breasts	105	105	$56.00	$22.65
86140 Measurement C-reactive protein for detection of infection or inflammation	102	51	$18.00	$5.60
93880 Ultrasound of both sides of head and neck blood flow	89	86	$463.60	$184.54
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	89	88	$924.00	$361.46
99213 Established patient office or other outpatient visit, typically 15 minutes	88	75	$173.00	$66.58
J0696 Injection, ceftriaxone sodium, per 250 mg	81	22	$18.00	$0.59
82728 Ferritin (blood protein) level	72	47	$46.00	$14.85
83540 Iron level	71	47	$22.00	$7.05
83550 Iron binding capacity	71	47	$30.00	$9.52
J3489 Injection, zoledronic acid, 1 mg	64	13	$103.00	$11.90
J1030 Injection, methylprednisolone acetate, 40 mg	60	43	$9.00	$6.29
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	49	17	$34.00	$14.58
G0442 Annual alcohol misuse screening, 5 to 15 minutes	49	49	$42.00	$17.21
93226 Electrocardiogram (ecg) 2-day continuous with report	39	39	$150.00	$32.31
93225 Electrocardiogram (ecg) 2-day continuous	39	39	$85.00	$17.42
Q9956 Injection, octafluoropropane microspheres, per ml	36	12	$90.00	$31.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$347.00	$137.86
82550 Creatine kinase (cardiac enzyme) level, total	33	29	$22.00	$6.93
83735 Magnesium level	31	22	$23.00	$7.29
72110 X-ray of lower and sacral spine, minimum of 4 views	28	27	$73.00	$31.77
G0009 Administration of pneumococcal vaccine	27	27	$54.07	$15.59
84403 Testosterone (hormone) level, total	25	16	$88.00	$25.56
82570 Creatinine level to test for kidney function or muscle injury	23	23	$18.00	$5.63
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	23	14	$127.00	$54.00
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$41.00	$16.22
74177 Ct scan of abdomen and pelvis with contrast	22	22	$670.00	$206.84
76536 Ultrasound of head and neck	21	21	$200.00	$78.54
83970 Parathormone (parathyroid hormone) level	21	16	$141.00	$44.94
72050 X-ray of upper spine, 4 or 5 views	20	20	$64.00	$30.24
69209 Removal of impacted ear wax by washing	19	17	$47.32	$17.11
73120 X-ray of hand, 2 views	19	11	$39.00	$18.82
73502 X-ray of hip, 2-3 views	17	17	$68.00	$28.86
73564 X-ray of knee, 4 or more views	17	14	$62.00	$27.57
J0280 Injection, aminophyllin, up to 250 mg	16	16	$14.88	$7.61
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	15	15	$159.00	$66.39
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$224.00	$86.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$206.00	$110.57
90670 Pneumococcal vaccine for injection into muscle	13	13	$433.00	$206.40
73030 X-ray of shoulder, minimum of 2 views	13	12	$43.00	$18.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$411.00	$166.39
86431 Rheumatoid factor level	13	13	$19.00	$6.17
70220 X-ray of paranasal sinus, minimum of 3 views	12	12	$55.00	$24.02
G2011 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes	11	11	$41.00	$16.53
82565 Blood creatinine level	11	11	$17.00	$5.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,650	21	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,725	506	$256.00	$101.58
36415 Insertion of needle into vein for collection of blood sample	1,429	482	$10.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,398	476	$27.00	$9.38
80053 Blood test, comprehensive group of blood chemicals	1,377	475	$36.00	$12.76
84443 Blood test, thyroid stimulating hormone (TSH)	1,342	476	$57.00	$20.28
80061 Blood test, lipids (cholesterol and triglycerides)	1,332	477	$55.01	$16.14
81001 Manual urinalysis test with examination using microscope, automated	1,274	467	$11.00	$3.82
84439 Thyroxine (thyroid chemical), free	505	192	$31.00	$10.88
71046 X-ray of chest, 2 views	415	340	$45.00	$17.62
93000 Routine ekg using at least 12 leads including interpretation and report	385	348	$40.00	$15.96
83036 Hemoglobin A1C level	364	144	$33.00	$11.66
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	358	346	$371.00	$122.32
J2785 Injection, regadenoson, 0.1 mg	319	82	$132.00	$55.07
G0008 Administration of influenza virus vaccine	313	309	$59.00	$19.06
90662 Influenza vaccine split virus, preservative free	311	307	$123.45	$52.23
85610 Blood test, clotting time	308	33	$13.00	$4.74
99497 Advance care planning, first 30 minutes	299	298	$207.00	$81.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	280	280	$276.00	$110.78
84550 Uric acid level, blood	270	115	$15.00	$5.45
84153 Psa (prostate specific antigen) measurement, total	246	168	$78.00	$22.19
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	237	120	$281.00	$112.33
93793 Anticoagulant management of patient taking warfarin	192	26	$29.00	$11.45
82306 Vitamin d-3 level	186	149	$101.00	$35.54
82607 Cyanocobalamin (vitamin B-12) level	185	125	$51.00	$18.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	181	76	$59.00	$19.16
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	173	173	$54.00	$19.25
J0696 Injection, ceftriaxone sodium, per 250 mg	164	33	$18.00	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	149	123	$173.57	$67.57
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	144	141	$107.00	$24.21
77067 Screening mammography	130	130	$224.00	$89.50
93880 Ultrasound of both sides of head and neck blood flow	126	120	$450.89	$175.53
99358 Prolonged patient service without direct patient contact first hour	125	92	$310.00	$108.98
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	105	67	$12.00	$4.29
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	103	103	$924.00	$371.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	100	49	$41.00	$16.22
82728 Ferritin (blood protein) level	88	53	$46.00	$16.32
83550 Iron binding capacity	86	53	$30.00	$10.46
83540 Iron level	86	53	$22.00	$7.75
J1030 Injection, methylprednisolone acetate, 40 mg	74	60	$8.94	$6.63
86140 Measurement C-reactive protein for detection of infection or inflammation	71	39	$18.00	$6.26
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	61	26	$127.00	$50.96
Q9956 Injection, octafluoropropane microspheres, per ml	54	19	$90.00	$32.82
82043 Urine microalbumin (protein) level	54	54	$20.00	$7.00
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	48	22	$34.00	$13.94
82746 Folic acid level	44	41	$50.00	$17.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	33	$347.00	$139.01
82550 Creatine kinase (cardiac enzyme) level, total	37	29	$22.00	$7.88
72110 X-ray of lower and sacral spine, minimum of 4 views	35	35	$73.00	$29.73
77080 Dxa bone density measurement of hip, pelvis, spine	35	35	$240.00	$38.57
G0009 Administration of pneumococcal vaccine	28	27	$55.89	$19.06
93225 Electrocardiogram (ecg) 2-day continuous	26	25	$85.00	$18.47
93226 Electrocardiogram (ecg) 2-day continuous with report	26	25	$150.00	$33.23
90670 Pneumococcal vaccine for injection into muscle	20	20	$433.00	$198.57
93320 Ultrasound of heart blood flow, valves and chambers	20	20	$148.00	$32.49
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	20	20	$250.00	$20.41
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	20	20	$384.00	$123.61
80048 Blood test, basic group of blood chemicals (calcium, total)	18	15	$29.00	$10.23
84403 Testosterone (hormone) level, total	17	13	$88.00	$29.72
83970 Parathormone (parathyroid hormone) level	17	14	$141.00	$49.94
76536 Ultrasound of head and neck	17	17	$200.00	$80.64
72050 X-ray of upper spine, 4 or 5 views	16	16	$64.00	$26.64
83735 Magnesium level	16	16	$23.00	$8.10
73502 X-ray of hip, 2-3 views	15	14	$68.00	$25.78
82565 Blood creatinine level	15	14	$17.00	$6.20
74177 Ct scan of abdomen and pelvis with contrast	14	14	$670.00	$198.19
69209 Removal of impacted ear wax by washing	14	12	$45.57	$16.92
70450 Ct scan head or brain without contrast	14	14	$325.00	$66.14
72148 MRI scan of lower spinal canal	13	13	$860.00	$130.34
73030 X-ray of shoulder, minimum of 2 views	12	11	$43.00	$17.92
J0280 Injection, aminophyllin, up to 250 mg	12	12	$8.00	$7.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$411.00	$163.81
93308 Ultrasound of heart, follow-up	12	11	$224.00	$72.45
73564 X-ray of knee, 4 or more views	11	11	$62.00	$25.57
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	11	11	$159.00	$66.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,800	24	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,638	503	$256.00	$100.58
36415 Insertion of needle into vein for collection of blood sample	1,638	495	$10.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,473	490	$27.00	$10.43
80053 Blood test, comprehensive group of blood chemicals	1,448	484	$36.00	$9.99
84443 Blood test, thyroid stimulating hormone (TSH)	1,347	485	$57.00	$22.55
80061 Blood test, lipids (cholesterol and triglycerides)	1,334	483	$55.01	$14.74
81001 Manual urinalysis test with examination using microscope, automated	1,288	486	$11.00	$4.24
84439 Thyroxine (thyroid chemical), free	524	187	$31.00	$12.07
71020 X-ray of chest, 2 views, front and side	415	356	$48.00	$15.20
J2785 Injection, regadenoson, 0.1 mg	388	97	$132.00	$53.54
93000 Routine ekg using at least 12 leads including interpretation and report	387	366	$40.00	$15.85
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	383	374	$371.00	$145.55
83036 Hemoglobin A1C level	381	158	$33.00	$12.90
85610 Blood test, clotting time	347	36	$13.00	$5.28
G0008 Administration of influenza virus vaccine	341	336	$59.00	$23.40
90662 Influenza vaccine split virus, preservative free	312	307	$90.00	$47.63
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	291	145	$281.00	$220.17
84550 Uric acid level, blood	278	113	$15.00	$3.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	245	245	$276.00	$109.36
84153 Psa (prostate specific antigen) measurement, total	239	179	$78.00	$24.64
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	186	186	$54.00	$21.38
82607 Cyanocobalamin (vitamin B-12) level	184	132	$51.00	$20.17
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	182	175	$107.00	$27.19
82306 Vitamin d-3 level	167	143	$101.00	$39.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	164	66	$59.00	$23.42
J0696 Injection, ceftriaxone sodium, per 250 mg	145	35	$18.00	$0.63
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	144	143	$924.00	$359.81
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	143	143	$224.00	$88.56
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	141	84	$12.00	$4.77
99213 Established patient office or other outpatient visit, typically 15 minutes	133	111	$173.62	$68.02
86140 Measurement C-reactive protein for detection of infection or inflammation	104	49	$18.00	$6.96
82746 Folic acid level	100	83	$50.00	$19.77
93880 Ultrasound of both sides of head and neck blood flow	94	91	$468.00	$183.68
82728 Ferritin (blood protein) level	86	59	$46.00	$18.33
83550 Iron binding capacity	85	58	$30.00	$11.75
83540 Iron level	85	58	$22.00	$8.70
77080 Dxa bone density measurement of hip, pelvis, spine	77	77	$240.00	$37.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	70	70	$411.00	$162.14
Q9956 Injection, octafluoropropane microspheres, per ml	66	22	$90.00	$33.70
J3489 Injection, zoledronic acid, 1 mg	65	13	$103.00	$13.10
82043 Urine microalbumin (protein) level	57	57	$20.00	$7.66
J1030 Injection, methylprednisolone acetate, 40 mg	49	39	$9.00	$5.71
82550 Creatine kinase (cardiac enzyme) level, total	45	33	$22.00	$4.70
99496 Transitional care management services for problem of high complexity	45	42	$551.00	$218.48
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	44	25	$127.00	$49.74
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	40	19	$34.00	$13.88
93226 Electrocardiogram (ecg) 2-day continuous with report	38	38	$150.00	$33.14
93225 Electrocardiogram (ecg) 2-day continuous	38	38	$85.00	$17.91
J0280 Injection, aminophyllin, up to 250 mg	35	35	$8.00	$7.50
G0009 Administration of pneumococcal vaccine	35	35	$55.43	$23.40
72110 X-ray of lower and sacral spine, minimum of 4 views	34	34	$73.00	$27.40
90670 Pneumococcal vaccine for injection into muscle	32	32	$433.00	$182.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$347.00	$137.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$45.00	$18.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	11	$41.00	$16.11
80048 Blood test, basic group of blood chemicals (calcium, total)	23	23	$29.00	$11.06
82565 Blood creatinine level	20	18	$17.00	$5.32
73502 X-ray of hip, 2-3 views	19	18	$68.00	$25.82
84403 Testosterone (hormone) level, total	19	16	$88.00	$32.88
83970 Parathormone (parathyroid hormone) level	19	16	$141.00	$55.49
83735 Magnesium level	19	16	$23.00	$9.01
72050 X-ray of upper spine, 4 or 5 views	18	18	$64.00	$26.43
76536 Ultrasound of head and neck	18	18	$200.00	$76.46
73564 X-ray of knee, 4 or more views	18	15	$62.00	$25.57
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	17	17	$384.00	$151.82
93320 Ultrasound of heart blood flow, valves and chambers	17	17	$148.00	$32.07
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	17	17	$250.00	$20.00
69209 Removal of impacted ear wax by washing	16	15	$32.63	$14.35
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	14	14	$159.00	$62.86
70450 Ct scan head or brain without contrast	14	14	$325.00	$65.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$224.00	$88.24
86431 Rheumatoid factor level	12	12	$19.00	$7.62
73630 X-ray of foot, minimum of 3 views	12	12	$46.00	$18.52
74177 Ct scan of abdomen and pelvis with contrast	12	12	$670.00	$196.69
73030 X-ray of shoulder, minimum of 2 views	12	11	$43.00	$17.52
76705 Limited ultrasound scan of abdomen	12	11	$172.00	$56.14
99495 Transitional care management services for problem of at least moderate complexity	11	11	$389.00	$154.29
70220 X-ray of paranasal sinus, minimum of 3 views	11	11	$55.00	$22.33

Medical Specialties & State Licenses

CMS Verified: 2021-03-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 45346

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Northeast Georgia Diagnostic Associates And Clinic, Llc

1240 Jesse Jewell Pkwy Se, Gainesville, GA 305013861

Phone: 7705369864

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Shelley Martin , CNP

Nurse Practitioner

NPI 1003363201

Certified Nurse Practitioner

Terri Kemmerer , CNP

Nurse Practitioner - Family

NPI 1013199587

Certified Nurse Practitioner

Dr. Roberto Villanueva , MD

Internal Medicine

NPI 1033112958

Doctor of Medicine (M.D.)

Dr. Matthey Harris , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1043213176

Doctor of Medicine (M.D.)

Dr. Joseph West , MD

Internal Medicine - Pulmonary Disease

NPI 1043375025

Doctor of Medicine (M.D.)

Melissa Summerlin , NP-C

Nurse Practitioner - Adult Health

NPI 1043519671

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2013

Registered at 1240 JESSE JEWELL PKWY SE, STE 500, GAINESVILLE, GA 305013861 (Tel: 7705369864)

📍

Updated Business Mailing Address January 16, 2013

Registered at 1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 305013862 (Tel: 7705369864)

👤

Provider Name / Credentials Updated January 16, 2013

Recorded as SEAN SUMNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2013

Internal Medicine (License #45346 in GA)

🟢

Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Sean Sumner. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093718942

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2005

Last Update: March 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1240 Jesse Jewell Pkwy Se, Suite 500

Gainesville, GA 305013862

Phone: 7705369864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.