Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1083851869 · RITTMAN, OH 44270 · Family Medicine Physician · NPI assigned 01/15/2009

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

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

$150K
Total Medicaid Paid
14,814
Total Claims
13,559
Beneficiaries
19
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/15/2009

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
2018 2,613 $22K
2019 2,498 $25K
2020 2,826 $26K
2021 2,960 $26K
2022 3,231 $32K
2023 686 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,518 2,270 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,170 1,102 $57K
99308 Subsequent nursing facility care, per day, straightforward 412 378 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 27 $551.55
90686 16 16 $254.59
3074F 42 41 $5.00
3017F 1,251 1,125 $0.00
1036F 1,624 1,490 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 58 50 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 13 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,686 1,541 $0.00
4004F 841 775 $0.00
G8484 Influenza immunization was not administered, reason not given 1,469 1,340 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,433 3,154 $0.00
1159F 62 58 $0.00
1160F 62 58 $0.00
G8482 Influenza immunization administered or previously received 100 95 $0.00
3078F 13 13 $0.00
2022F 13 13 $0.00