Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1023143864 · MEDINA, OH 44256 · Radiation Oncology Physician · NPI assigned 02/22/2007

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

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

$85K
Total Medicaid Paid
12,801
Total Claims
12,524
Beneficiaries
17
Codes Billed
2019-07
First Month
2024-03
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date02/22/2007

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
2019 9,091 $63K
2020 3,112 $16K
2021 353 $2K
2022 163 $1K
2023 69 $2K
2024 13 $363.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,834 1,793 $44K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,035 990 $39K
99238 Hospital discharge day management, 30 minutes or less 33 31 $883.64
99215 Prolong outpt/office vis 15 15 $574.59
G8484 Influenza immunization was not administered, reason not given 748 729 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,542 1,511 $0.00
G8482 Influenza immunization administered or previously received 650 641 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,377 2,318 $0.00
4004F 1,001 979 $0.00
3046F 40 40 $0.00
2022F 198 198 $0.00
G8598 Aspirin or another antiplatelet therapy used 38 38 $0.00
3017F 1,132 1,114 $0.00
1036F 1,381 1,360 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 175 173 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 327 324 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 275 270 $0.00