Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1124356670 · STOW, OH 44224 · Nurse Practitioner · NPI assigned 11/20/2009

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

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

$152K
Total Medicaid Paid
2,408
Total Claims
1,590
Beneficiaries
12
Codes Billed
2021-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date11/20/2009

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 58 $4K
2022 112 $4K
2023 1,390 $96K
2024 848 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95720 574 208 $64K
99215 Prolong outpt/office vis 559 448 $36K
90834 Psychotherapy, 45 minutes with patient 426 245 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 241 221 $12K
99417 Prolong home eval add 15m 226 126 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 193 181 $7K
95816 55 42 $1K
95819 27 12 $619.92
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 17 17 $398.35
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 66 66 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12 12 $0.00
G8484 Influenza immunization was not administered, reason not given 12 12 $0.00