Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1295786424 · AKRON, OH 44304 · Surgery Physician · NPI assigned 05/12/2006

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

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

$711K
Total Medicaid Paid
26,527
Total Claims
22,322
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/12/2006

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 $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 1,521 $11K
2019 1,482 $36K
2020 1,654 $51K
2021 9,452 $168K
2022 4,712 $114K
2023 4,721 $200K
2024 2,985 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,178 2,778 $222K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,757 2,350 $145K
31575 1,546 1,341 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,779 1,580 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,056 971 $47K
99232 Subsequent hospital care, per day, moderate complexity 1,986 799 $42K
92557 1,558 1,352 $38K
31231 226 204 $18K
99233 Prolong inpt eval add15 m 522 228 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 226 63 $11K
92550 1,090 931 $10K
92504 227 192 $3K
92567 315 293 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 12 $2K
30140 13 12 $1K
99215 Prolong outpt/office vis 14 14 $1K
99223 Prolong inpt eval add15 m 13 13 $1K
99238 Hospital discharge day management, 30 minutes or less 15 15 $498.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $464.61
3017F 1,078 968 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 363 333 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 354 325 $0.00
1036F 1,829 1,681 $0.00
1123F 15 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,402 1,290 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,068 2,835 $0.00
4004F 706 649 $0.00
G8484 Influenza immunization was not administered, reason not given 1,138 1,041 $0.00
4040F 15 14 $0.00
G8482 Influenza immunization administered or previously received 13 12 $0.00