Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMA PHYSICIANS LLC

NPI: 1003168105 · BARBERTON, OH 44203 · Clinical Psychologist · NPI assigned 10/12/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARSON, WENDY controls 20+ related entities in our dataset. Read more

$421K
Total Medicaid Paid
41,253
Total Claims
38,397
Beneficiaries
26
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date10/12/2012

Related Entities

Other providers sharing the same authorized official: CARSON, WENDY

ProviderCityStateTotal Paid
SUMMA PHYSICIANS LLC AKRON OH $3.69M
SUMMA PHYSICIANS LLC AKRON OH $2.28M
SUMMA PHYSICIANS LLC AKRON OH $2.18M
SUMMA PHYSICIANS LLC AKRON OH $2.11M
SUMMA PHYSICIANS LLC AKRON OH $1.79M
SUMMA PHYSICIANS LLC AKRON OH $1.42M
SUMMA PHYSICIANS LLC AKRON OH $1.40M
SUMMA PHYSICIANS LLC UNIONTOWN OH $1.12M
SUMMA PHYSICIANS LLC TALLMADGE OH $1.05M
SUMMA PHYSICIANS LLC AKRON OH $1.01M
SUMMA PHYSICIANS LLC AKRON OH $996K
SUMMA PHYSICIANS LLC AKRON OH $853K
SUMMA PHYSICIANS LLC AKRON OH $828K
SUMMA PHYSICIANS LLC AKRON OH $798K
SUMMA PHYSICIANS LLC CUYAHOGA FALLS OH $767K
SUMMA PHYSICIANS LLC AKRON OH $711K
SUMMA PHYSICIANS LLC AKRON OH $690K
SUMMA PHYSICIANS LLC AKRON OH $639K
SUMMA PHYSICIANS LLC WADSWORTH OH $505K
SUMMA PHYSICIANS LLC AKRON OH $433K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 15,584 $103K
2022 14,672 $112K
2023 6,142 $121K
2024 4,855 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,026 9,940 $277K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,866 3,442 $143K
99232 Subsequent hospital care, per day, moderate complexity 63 25 $1K
3008F 13 12 $38.50
3078F 1,532 1,436 $5.00
3074F 1,291 1,207 $5.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,017 3,853 $0.00
4004F 2,729 2,572 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,031 5,771 $0.00
G8482 Influenza immunization administered or previously received 640 617 $0.00
1159F 263 250 $0.00
G8484 Influenza immunization was not administered, reason not given 2,689 2,550 $0.00
1160F 252 241 $0.00
1100F 14 12 $0.00
2022F 13 12 $0.00
4040F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 499 455 $0.00
1036F 3,548 3,414 $0.00
3017F 1,891 1,804 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 288 277 $0.00
3044F 230 169 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 227 216 $0.00
1125F 47 45 $0.00
3079F 27 27 $0.00
1123F 12 12 $0.00
3075F 33 26 $0.00