Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1235302134 · AKRON, OH 44304 · Internal Medicine Physician · NPI assigned 04/11/2008

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

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

$73K
Total Medicaid Paid
2,749
Total Claims
2,018
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date04/11/2008

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 AKRON OH $639K
SUMMA PHYSICIANS LLC WADSWORTH OH $505K
SUMMA PHYSICIANS LLC AKRON OH $433K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 209 $2K
2019 144 $701.42
2020 304 $4K
2021 267 $7K
2022 697 $14K
2023 343 $17K
2024 785 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,034 773 $56K
99309 Subsequent nursing facility care, per day, low to moderate complexity 645 420 $10K
99222 Initial hospital care, per day, moderate complexity 86 84 $2K
99233 Prolong inpt eval add15 m 71 43 $2K
99417 Prolong home eval add 15m 28 24 $1K
99232 Subsequent hospital care, per day, moderate complexity 55 25 $559.56
99306 Prolong nursin fac eval 15m 13 12 $554.74
99310 Prolong nursin fac eval 15m 54 29 $237.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 119 101 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 211 184 $0.00
4040F 13 12 $0.00
2022F 21 14 $0.00
G8482 Influenza immunization administered or previously received 16 13 $0.00
G8484 Influenza immunization was not administered, reason not given 29 20 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 95 62 $0.00
1036F 130 101 $0.00
1123F 45 37 $0.00
3017F 38 26 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 34 26 $0.00
99349 12 12 $0.00