Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1346425147 · AKRON, OH 44310 · Internal Medicine Physician · NPI assigned 12/31/2007

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

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

$2.28M
Total Medicaid Paid
142,802
Total Claims
130,669
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/31/2007

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 $2.18M
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
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,764 $209K
2019 24,870 $337K
2020 21,683 $276K
2021 27,797 $331K
2022 25,014 $342K
2023 12,943 $432K
2024 11,731 $352K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,753 27,119 $1.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,696 4,229 $177K
99215 Prolong outpt/office vis 1,273 1,173 $94K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 978 894 $73K
99232 Subsequent hospital care, per day, moderate complexity 3,172 1,290 $67K
99233 Prolong inpt eval add15 m 1,652 762 $51K
99223 Prolong inpt eval add15 m 829 796 $51K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,140 1,044 $41K
83036 Hemoglobin; glycosylated (A1C) 4,331 3,917 $25K
92015 Determination of refractive state 1,671 1,522 $23K
99205 Prolong outpt/office vis 268 225 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 496 421 $20K
95251 774 673 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 669 663 $9K
99239 Hospital discharge day management, more than 30 minutes 204 180 $6K
99417 Prolong home eval add 15m 319 188 $5K
90686 181 169 $3K
92133 230 215 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 203 192 $2K
92134 106 95 $1K
99222 Initial hospital care, per day, moderate complexity 24 24 $1K
90656 52 52 $1K
99385 12 12 $773.60
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 18 $733.58
99231 Subsequent hospital care, per day, straightforward or low complexity 69 40 $660.43
90688 33 32 $317.88
92083 13 12 $254.70
99443 15 14 $134.44
82962 71 58 $127.80
36416 75 74 $126.46
3008F 14 13 $45.50
3044F 730 559 $20.00
3079F 656 583 $10.00
3078F 1,932 1,740 $5.00
3074F 2,165 1,926 $5.00
4004F 3,698 3,501 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 22,272 21,190 $0.00
2022F 6,108 5,906 $0.00
3051F 46 40 $0.00
G8484 Influenza immunization was not administered, reason not given 8,873 8,444 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13,565 12,888 $0.00
3046F 1,046 998 $0.00
G8482 Influenza immunization administered or previously received 826 769 $0.00
1160F 384 345 $0.00
1159F 473 415 $0.00
3045F 192 183 $0.00
4040F 12 12 $0.00
3017F 8,220 7,752 $0.00
1036F 15,375 14,591 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 625 589 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 746 724 $0.00
1123F 243 214 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 972 914 $0.00
3075F 213 193 $0.00
1125F 48 38 $0.00
3014F 28 27 $0.00
G0008 Administration of influenza virus vaccine 13 12 $0.00