Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1114166246 · BARBERTON, OH 44203 · Pulmonary Disease Physician · NPI assigned 02/12/2009

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

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

$64K
Total Medicaid Paid
3,002
Total Claims
2,617
Beneficiaries
15
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date02/12/2009

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
2021 416 $3K
2022 1,125 $12K
2023 879 $31K
2024 582 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,159 969 $56K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 51 $3K
99232 Subsequent hospital care, per day, moderate complexity 155 63 $3K
83036 Hemoglobin; glycosylated (A1C) 240 188 $1K
95251 49 37 $711.14
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 369 361 $0.00
G8484 Influenza immunization was not administered, reason not given 223 217 $0.00
2022F 139 136 $0.00
3046F 26 24 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 182 179 $0.00
3078F 79 76 $0.00
4004F 33 32 $0.00
3017F 45 45 $0.00
1036F 177 174 $0.00
3074F 69 65 $0.00