Dr. Andrew Sumnicht, MD
21827 76th Ave W Ste 102, Edmonds, WA 98026 • +1-568-555-5173
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Edmonds Percentiles
NPI #1306335435 • CBSA Regional • Ophthalmology
Within the Edmonds, WA (CBSA local) Ophthalmology cohort, Dr. Andrew Sumnicht, MD with sub-specialty concentration in 53 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 31.83th WA percentile (-0.39σ Z-score) based on 1,889 billed procedures for 712 patients.
Medicare Part B line-item claims for Dr. Andrew Sumnicht (98026) place 92014 at the top of the practice ledger (699 yearly units, 12th metro rank), rounded out by 92134 and 92083.
Direct cash-pay transparency modeling sets Dr. Sumnicht's baseline new-consult rate near $222.00 in Edmonds, WA (cash-pay accepted, in-person clinic visits only, 15-minute average reception wait).
NPI registry verification (#1306335435) confirms Dr. Andrew Sumnicht's MD standing serving CBSA 98026 with a 4.80/5 patient scorecard.
Compared against Edmonds, WA Ophthalmology peers
1,889 annual services across 712 beneficiaries
Standard deviations from WA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 699 | 12th | $219 – $300 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 491 | 12th | $120 – $165 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 321 | 12th | $145 – $198 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 227 | 12th | $263 – $361 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 151 | 12th | $963 – $1320 |
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Dr. Andrew Sumnicht, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sumnicht National Provider Identifier | NPI #1306335435 (MD) | CMS NPPES Registry (98026) |
| Dr. Sumnicht Edmonds CMS Volume Rank | 0.00th Pct (1,889 CMS svcs; Z -0.390σ) | CMS Medicare Part B (WA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edmonds, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 15 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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