Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1205958956 · AKRON, OH 44304 · Nurse Practitioner

$1.40M
Total Medicaid Paid
40,151
Total Claims
37,870
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,309 $243K
2019 6,527 $260K
2020 6,960 $210K
2021 9,556 $198K
2022 4,730 $143K
2023 3,483 $239K
2024 1,586 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 3,914 3,549 $350K
99214 5,048 4,731 $275K
45380 2,000 1,807 $246K
99204 3,078 2,765 $201K
45385 714 668 $151K
99215 Prolong outpt/office vis 893 863 $71K
99223 Prolong inpt eval add15 m 814 755 $44K
45378 170 121 $20K
99203 368 361 $19K
99232 418 266 $8K
99213 143 137 $5K
43235 61 57 $5K
99222 93 86 $3K
99254 19 12 $1K
93010 163 139 $123.69
G8420 Bmi is documented within normal parameters and no follow-up plan is required 638 628 $0.00
1036F 3,876 3,769 $0.00
3017F 2,547 2,480 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 825 801 $0.00
3074F 245 210 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 271 261 $0.00
1125F 17 15 $0.00
3044F 36 24 $0.00
3079F 14 14 $0.00
3014F 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,195 3,092 $0.00
G8484 Influenza immunization was not administered, reason not given 2,449 2,361 $0.00
4004F 1,619 1,578 $0.00
G8482 Influenza immunization administered or previously received 206 202 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,987 5,833 $0.00
3078F 135 114 $0.00
1160F 91 79 $0.00
1159F 92 80 $0.00