Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1316192545 · BARBERTON, OH 44203 · Nurse Practitioner · NPI assigned 12/02/2008

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

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

$94K
Total Medicaid Paid
4,171
Total Claims
2,447
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/02/2008

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 $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 1,331 $23K
2019 1,383 $34K
2020 647 $16K
2021 238 $6K
2022 190 $6K
2023 228 $4K
2024 154 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 1,678 560 $47K
99215 Prolong outpt/office vis 172 164 $14K
99232 Subsequent hospital care, per day, moderate complexity 729 220 $13K
99223 Prolong inpt eval add15 m 176 158 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 176 169 $8K
99222 Initial hospital care, per day, moderate complexity 71 64 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 71 59 $891.81
99406 31 18 $135.02
83036 Hemoglobin; glycosylated (A1C) 13 12 $85.86
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 26 26 $0.00
1036F 28 26 $0.00
3017F 13 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 135 131 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 563 544 $0.00
G8484 Influenza immunization was not administered, reason not given 176 173 $0.00
4004F 98 96 $0.00
2022F 15 15 $0.00