Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1215113337 · AKRON, OH 44311 · Physician Assistant · NPI assigned 01/18/2008

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

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

$639K
Total Medicaid Paid
45,981
Total Claims
42,601
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/18/2008

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 WADSWORTH OH $505K
SUMMA PHYSICIANS LLC AKRON OH $433K
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,185 $72K
2019 4,836 $61K
2020 5,960 $68K
2021 10,221 $101K
2022 9,143 $106K
2023 4,779 $136K
2024 3,857 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,380 6,687 $401K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,695 5,112 $215K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 100 87 $7K
83036 Hemoglobin; glycosylated (A1C) 608 579 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 36 $3K
90686 162 160 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34 32 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 121 118 $1K
36415 Collection of venous blood by venipuncture 636 608 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 12 $858.48
90688 62 60 $826.07
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $735.36
90656 19 19 $327.98
90460 Immunization administration through 18 years of age via any route, first or only component 19 12 $280.50
96160 14 13 $43.54
3008F 14 14 $31.50
3079F 488 432 $5.00
3078F 1,094 986 $0.00
4004F 2,555 2,412 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,902 4,599 $0.00
1159F 289 272 $0.00
G8484 Influenza immunization was not administered, reason not given 3,669 3,444 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,037 6,620 $0.00
G8482 Influenza immunization administered or previously received 600 572 $0.00
2022F 226 218 $0.00
1160F 309 292 $0.00
4040F 26 25 $0.00
1100F 18 13 $0.00
3074F 1,486 1,347 $0.00
1036F 4,634 4,336 $0.00
3017F 2,491 2,331 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 168 154 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 544 509 $0.00
3075F 72 65 $0.00
3044F 86 80 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 246 240 $0.00
1123F 40 38 $0.00
3014F 29 27 $0.00
1125F 30 28 $0.00