Physician

Michael A Sumsion, MD

According to 2025 Medicare claims, Michael Sumsion, MD (NPI: 1699725507) practices ophthalmology in the Redding, CA market, with the plurality of this provider's patient population coming from Shasta, CA. This provider's primary affiliated billing organization is RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION (NPI: 1265158703; TIN: 850972618) and primary practice location at 96001-2822.

Sumsion's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,058 traditional Medicare patients, billed 28,672 HCPCS/CPT codes, and received $3,752,056 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 1,597 prescription claims across 362 beneficiaries totaling $376,738 in drug costs, led by Lumigan (Bimatoprost). 2015 DME data shows 45 claims. Open Payments data shows 33 records totaling $790. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have declined steadily, from $488,904 to $376,738. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.9M$3.8M2015 Medicare payment: $2,132,256 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $2,532,306 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,116,393 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,471,622 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,330,923 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,709,585 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,603,147 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,906,592 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,200,915 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,752,056 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153,17022,294$2,132,256
20163,13924,966$2,532,306
20172,87728,184$3,116,393
20182,25924,202$3,471,622
20192,29323,690$3,330,923
20202,01119,259$2,709,585
20211,97719,444$2,603,147
20222,08121,405$2,906,592
20232,02622,646$3,200,915
20242,05828,672$3,752,056

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$247K$493K2015 Drug cost: $488,904 (USD; Tot_Drug_Cst)2016 Drug cost: $493,292 (USD; Tot_Drug_Cst)2017 Drug cost: $470,203 (USD; Tot_Drug_Cst)2018 Drug cost: $434,070 (USD; Tot_Drug_Cst)2019 Drug cost: $413,147 (USD; Tot_Drug_Cst)2020 Drug cost: $413,229 (USD; Tot_Drug_Cst)2021 Drug cost: $305,918 (USD; Tot_Drug_Cst)2022 Drug cost: $314,073 (USD; Tot_Drug_Cst)2023 Drug cost: $272,618 (USD; Tot_Drug_Cst)2024 Drug cost: $376,738 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156993,309$488,904
20166483,115$493,292
20176213,069$470,203
20185272,269$434,070
20195442,217$413,147
20203711,586$413,229
20214381,817$305,918
20224991,939$314,073
20234201,723$272,618
20243621,597$376,738

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.4K$2.8K2015 Medicare payment: $2,823 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20154545$2,823
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
92014Established patient complete exam of visual system1,1401,148$87
92134Imaging of retina1,5143,474$32
83861Microfluid analysis of tears9832,076$22
92285Photography of content of eyes930941$17
83516Analysis of substance using immunoassay technique, multiple step method9992,103$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost19610,663$101,715
CombiganBrimonidine Tartrate/Timolol502,277$19,806
XiidraLifitegrast20780$18,672
MieboPerfluorohexyloctane/Pf20575$14,433
VyzultaLatanoprostene Bunod351,724$12,395

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.33$790ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michael A. Sumsion, MD?

Tedicare shows public-source Medicare data for Michael A. Sumsion, MD (NPI 1699725507), 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 Michael A. Sumsion, 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 Michael A. Sumsion, MD?

Michael A. Sumsion, MD is linked to RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION (billing NPI 1265158703) in the available physician profile data.

Does Michael A. Sumsion, MD have Open Payments data?

Michael A. Sumsion, MD has 33 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.