NP / PA
Summa Physicians LLC
Summa Physicians LLC was paid $1.40M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 25% of everything it billed.
33Billing provider infoSUMMA PHYSICIANS LLC
AKRON, OH 44304
AKRON, OH 44304
33aNPI1205958956assigned 04/04/2007
33bProvider typeNurse Practitioner
28Total paid$1.40M
24GClaims40,151
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Ohio
Rank by total paid#10 of 168
Median peer was paid$9K
This provider vs. median159×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CARSON, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 1,586 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 3,914 | 3,549 | $350K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 5,048 | 4,731 | $275K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 2,000 | 1,807 | $246K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 3,078 | 2,765 | $201K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 11% | 714 | 668 | $151K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 893 | 863 | $71K |
| 99223 | Prolong inpt eval add15 m | 3.2% | 814 | 755 | $44K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.4% | 170 | 121 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 368 | 361 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 418 | 266 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 143 | 137 | $5K |
| 43235 | <1% | 61 | 57 | $5K |
21 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 93 | $3K |
| 99254 | <1% | 19 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 163 | $123.69 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 638 | $0.00 |
| 1036F | 0% | 3,876 | $0.00 | |
| 3017F | 0% | 2,547 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 825 | $0.00 |
| 3074F | 0% | 245 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 271 | $0.00 |
| 1125F | 0% | 17 | $0.00 | |
| 3044F | 0% | 36 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 3014F | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,195 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,449 | $0.00 |
| 4004F | 0% | 1,619 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 206 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,987 | $0.00 |
| 3078F | 0% | 135 | $0.00 | |
| 1160F | 0% | 91 | $0.00 | |
| 1159F | 0% | 92 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
| Provider | Location | 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 | 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 |
| Summa Physicians LLC | Akron, OH | $417K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.