Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1154728061 · ROOTSTOWN, OH 44272 · Gynecologic Oncology Physician · NPI assigned 11/21/2014

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

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

$106K
Total Medicaid Paid
7,864
Total Claims
7,269
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date11/21/2014

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 337 $5K
2019 976 $10K
2020 600 $3K
2021 2,886 $31K
2022 2,235 $26K
2023 357 $13K
2024 473 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,275 1,175 $72K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 922 835 $34K
90686 12 12 $234.06
36415 Collection of venous blood by venipuncture 40 39 $82.96
1036F 1,039 974 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 31 24 $0.00
3017F 195 180 $0.00
3074F 95 82 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 47 44 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 791 736 $0.00
G8484 Influenza immunization was not administered, reason not given 1,104 1,039 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,013 1,870 $0.00
3078F 68 56 $0.00
4004F 205 179 $0.00
G8482 Influenza immunization administered or previously received 27 24 $0.00