Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › STOW › SUMMA HEALTH OUTPATIENT SERVICES LLC

SUMMA HEALTH OUTPATIENT SERVICES LLC

NPI: 1104406800 · STOW, OH 44224 · Infusion Therapy Clinic/Center · NPI assigned 04/08/2021

$2K
Total Medicaid Paid
79
Total Claims
39
Beneficiaries
2
Codes Billed
2023-10
First Month
2023-11
Last Month

Provider Details

Authorized OfficialINGMIRE, MICHELLE (VICE PRESIDENT)
NPI Enumeration Date04/08/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 79 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 62 26 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 13 $361.01