Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1265685507 · BARBERTON, OH 44203 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 10/30/2008

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

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

$282K
Total Medicaid Paid
13,625
Total Claims
11,840
Beneficiaries
27
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date10/30/2008

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
2021 2,191 $22K
2022 4,726 $68K
2023 4,033 $130K
2024 2,675 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,763 3,205 $202K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,411 1,199 $50K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 207 194 $16K
99233 Prolong inpt eval add15 m 260 87 $8K
99232 Subsequent hospital care, per day, moderate complexity 155 60 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 126 31 $2K
99223 Prolong inpt eval add15 m 14 14 $810.64
90656 15 14 $211.96
83036 Hemoglobin; glycosylated (A1C) 27 24 $122.03
3008F 12 12 $24.50
3074F 1,018 928 $0.01
1036F 1,001 924 $0.00
3079F 189 174 $0.00
3017F 295 269 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 168 155 $0.00
3044F 147 119 $0.00
3075F 12 12 $0.00
1125F 49 44 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 46 40 $0.00
3078F 815 739 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,510 1,401 $0.00
4004F 388 355 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 828 761 $0.00
G8484 Influenza immunization was not administered, reason not given 791 731 $0.00
1159F 175 164 $0.00
G8482 Influenza immunization administered or previously received 51 42 $0.00
1160F 152 142 $0.00