NEVVI Medicare utilization intelligence

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SUMNER PHYSICIAN PRACTICES LLC

PAC 8820283260 Physician group
PHYSICIAN ASSISTANT · GALLATIN, TN · hospital-affiliated
Specialty PHYSICIAN ASSISTANT — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in GALLATIN, TN · bills Medicare in 4 states (MO, NC, NY, TN)
Scale 56 providers on the CMS registry roster · 153 codes billed (five-year data window) · 28,831 services (all billed codes, CY2024)
Medicare paid $983K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 27Advanced-practice 18Other clinicians 0= 45 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 45 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 80 of the group's 153 codes this year, across 2 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1215354253 Caughey, Robert Pain Management GallatinTN premium
1295919041 Mccauley, Megan MD Endocrinology GallatinTN premium
1902015019 Frazier, Christopher DPM Podiatry GallatinTN premium
1215211677 Glover, William PA Physician Assistant GallatinTN premium
1518223130 Reno, Justin MD Family Practice GallatinTN premium
1558723270 Hudson, Crystal NP Nurse Practitioner HendersonvilleTN premium
1700509353 Schefano, Antonio PHYSICIAN ASSISTANT Physician Assistant GallatinTN premium
1184619124 Rutherford, Richard M.D. Family Practice CarthageTN premium
1295706257 Botsko, James M.D. Family Practice GoodlettsvilleTN premium
1861498313 Hofmann, Marc M.D. Pulmonary Disease GallatinTN premium
1053827576 Thompson, Marcus Nurse Practitioner GallatinTN premium
1447820097 Bartol, Ilysa PA-C Physician Assistant GallatinTN premium
1891472130 Marshall, Paula FNP-C, CWON Nurse Practitioner GallatinTN premium
1346678125 Bornefeld, Kelly APRN, FNP-C Nurse Practitioner GallatinTN premium
1174919617 Cooper, Lauren Family Practice CarthageTN premium
1649809138 Bevel, Kaley MD Family Practice GallatinTN premium
1396763645 Hussein, Rafid DO Gastroenterology GallatinTN premium
1841646635 Barry, Kelly MD Orthopedic Surgery GallatinTN premium
1326661489 Appiah, Doris MD Family Practice GallatinTN premium
1053844241 Franco, Elizabeth MD Psychiatry GallatinTN premium
1356682652 Ishak, Mark-Mina D.O. Neurosurgery HickoryNC premium
1376751602 Mewbourne, Rodney M.D. General Surgery GallatinTN premium
1295364586 James, Adam MD Family Practice GallatinTN premium
1649854720 Nix, Zachary FNP-C Nurse Practitioner DoverTN premium
1124226501 Reed, Brian M.D. General Surgery GallatinTN premium
1912652694 Snelson, Rose-Elyse PA Physician Assistant HendersonvilleTN premium
1043299464 Hollis, Jeffrey MD General Surgery GallatinTN premium
1790211894 Smith, Meagan Family Practice CarthageTN premium
1417524273 Mayberry, Kaylee PA-C Physician Assistant GallatinTN premium
1164827218 Gentry, Sabra FNP Nurse Practitioner CarthageTN premium
1184048233 Waugh, Sinnamon FNP-BC Nurse Practitioner GallatinTN premium
1740984491 White, Alexandra FNP-C Nurse Practitioner CarthageTN premium
1295461671 Van Pelt, Lauren PA-C Physician Assistant HartsvilleTN premium
1023099074 Lambert, Heather WHNP, FNP, BC Nurse Practitioner GordonsvilleTN premium
1134119860 Pippin, Michael MD Obstetrics & Gynecology OoltewahTN premium
1578150389 Basford, Whitney · member of 2 groups MD Family Practice GallatinTN premium
1710411913 Batavia, Mihika · member of 2 groups D.O. Psychiatry NashvilleTN premium
1720079478 Beauchamp, William · member of 2 groups DO Orthopedic Surgery SpringfieldTN premium
1134346323 Branch-Hayes, Kimberly · member of 2 groups M.D. Physical Medicine and Rehabilitation NashvilleTN premium
1043077738 Bullard, Anne-Drew · member of 2 groups PA-C Physician Assistant FairviewTN premium
1922630417 Counce, Brooke · member of 2 groups FNP-C Nurse Practitioner NashvilleTN premium
1831728930 Crawley, Clayton · member of 2 groups DO Family Practice White HouseTN premium
1437545688 Dantzker, Nicholas · member of 2 groups M.D. Orthopedic Surgery GallatinTN premium
1285657726 O'leary, Timothy · member of 2 groups PA-C Physician Assistant HendersonvilleTN premium
1154828796 Shirley, Jordan · member of 3 groups DO Family Practice GallatinTN premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.