Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1275718850 · AKRON, OH 44319 · Nurse Practitioner · NPI assigned 01/02/2008

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

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

$828K
Total Medicaid Paid
21,512
Total Claims
19,319
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/02/2008

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,863 $38K
2019 835 $10K
2020 2,313 $69K
2021 5,699 $168K
2022 5,254 $268K
2023 2,708 $165K
2024 1,840 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 2,438 1,562 $477K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,411 2,218 $129K
64615 1,348 1,014 $98K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,169 1,956 $77K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 472 441 $35K
62369 456 424 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 42 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $847.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $668.29
62370 37 35 $580.93
95874 68 57 $559.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 13 $143.21
99442 21 14 $21.91
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 115 110 $0.00
3017F 1,053 1,002 $0.00
1036F 2,147 2,057 $0.00
3014F 50 48 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 382 371 $0.00
G8926 Spirometry test not performed or documented, reason not given 26 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,948 1,872 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,572 3,427 $0.00
4004F 1,050 1,005 $0.00
G8484 Influenza immunization was not administered, reason not given 1,520 1,461 $0.00
G8421 Bmi not documented and no reason is given 78 72 $0.00
3023F 42 42 $0.00
G8482 Influenza immunization administered or previously received 14 13 $0.00