Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1336707231 · BARBERTON, OH 44203 · Nurse Practitioner · NPI assigned 06/05/2019

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

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

$189K
Total Medicaid Paid
11,083
Total Claims
6,623
Beneficiaries
19
Codes Billed
2019-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date06/05/2019

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
2019 41 $489.47
2020 1,428 $19K
2021 4,193 $74K
2022 2,892 $43K
2023 1,235 $24K
2024 1,294 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 4,751 1,098 $103K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 788 728 $31K
99233 Prolong inpt eval add15 m 1,065 485 $30K
94060 901 860 $8K
94727 879 840 $4K
94729 918 881 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 46 46 $3K
99223 Prolong inpt eval add15 m 51 49 $2K
95811 31 27 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 17 $460.08
94016 18 18 $272.67
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 628 613 $0.01
G8484 Influenza immunization was not administered, reason not given 194 189 $0.00
3023F 105 103 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 184 177 $0.00
1036F 213 204 $0.00
G8926 Spirometry test not performed or documented, reason not given 41 41 $0.00
3017F 239 234 $0.00