Physician

Andrew Ivan Sumich, MD

According to 2025 Medicare claims, Andrew Sumich, MD (NPI: 1285609719) practices physical medicine and rehabilitation in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA (NPI: 1154384568; TIN: 560963485) and primary practice location at 28204-3109.

Sumich's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 622 traditional Medicare patients, billed 6,985 HCPCS/CPT codes, and received $273,498 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 1,094 prescription claims across 270 beneficiaries totaling $10,929 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). Open Payments data shows 63 records totaling $27,176. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $15,553 and ending at $10,929. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	685	7,787	$207,141
2016	663	7,847	$211,845
2017	700	7,647	$210,082
2018	713	7,739	$238,648
2019	696	8,632	$261,547
2020	645	6,859	$226,481
2021	706	7,588	$269,112
2022	705	6,535	$259,988
2023	661	6,244	$236,340
2024	622	6,985	$273,498

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	191	597	$15,553
2016	180	655	$11,643
2017	179	642	$8,921
2018	195	712	$21,140
2019	185	668	$20,235
2020	170	654	$12,194
2021	208	860	$13,247
2022	221	874	$15,135
2023	210	849	$12,708
2024	270	1,094	$10,929

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	159	233	$231
64479	Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level	124	164	$210
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	741	$94
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	134	729	$1
J1100	Injection, dexamethasone sodium phosphate, 1 mg	275	4,137	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	205	3,030	$3,210
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	86	1,925	$2,249
Gabapentin	Gabapentin	181	6,840	$1,370
Methylprednisolone	Methylprednisolone	131	796	$764
Tramadol Hcl	Tramadol Hcl	137	2,317	$698

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	63	$27,176	Boston Scientific Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Andrew Ivan Sumich, MD?

Tedicare shows public-source Medicare data for Andrew Ivan Sumich, MD (NPI 1285609719), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Andrew Ivan Sumich, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Andrew Ivan Sumich, MD?

Andrew Ivan Sumich, MD is linked to CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA (billing NPI 1154384568) in the available physician profile data.

Does Andrew Ivan Sumich, MD have Open Payments data?

Andrew Ivan Sumich, MD has 63 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.