Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1124291026 · AKRON, OH 44312 · Internal Medicine Physician · NPI assigned 04/11/2008

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

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

$49K
Total Medicaid Paid
5,305
Total Claims
4,814
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date04/11/2008

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 5,305 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 454 435 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 540 496 $19K
99232 Subsequent hospital care, per day, moderate complexity 54 30 $1K
99222 Initial hospital care, per day, moderate complexity 29 26 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99239 Hospital discharge day management, more than 30 minutes 12 12 $486.75
36415 Collection of venous blood by venipuncture 195 184 $392.68
1036F 612 544 $0.00
3017F 521 469 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 14 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,111 1,005 $0.00
G8484 Influenza immunization was not administered, reason not given 487 441 $0.00
4004F 498 463 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 751 671 $0.00