SUMMA PHYSICIANS LLC

$1.35M

Total Medicaid Paid

100,906

Total Claims

95,275

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		20,545	19,157	$1.04M
99204		2,194	2,053	$149K
99213		2,795	2,520	$100K
80305		4,289	4,033	$28K
99211		672	666	$9K
90686		367	344	$6K
96150		263	234	$6K
99203		106	101	$5K
90471		363	345	$5K
20610		45	37	$2K
99152		177	159	$1K
83036		166	161	$1K
99212		43	38	$963.67
90656		64	41	$781.95
90688		35	34	$460.57
99202		14	14	$453.56
82962		196	185	$356.36
96156		63	48	$166.43
J3301	Triamcinolone acet inj nos	26	25	$136.22
G0008	Admin influenza virus vac	13	12	$73.88
3044F		135	124	$10.00
1123F		401	386	$0.01
G8427	Docrev cur meds by elig clin	15,923	15,143	$0.01
3017F		9,019	8,567	$0.00
G8428	Cur meds not document	953	935	$0.00
G8419	Calc bmi out nrm param nof/u	702	664	$0.00
1036F		9,976	9,500	$0.00
G8420	Calc bmi norm parameters	1,437	1,373	$0.00
3014F		150	146	$0.00
3079F		160	149	$0.00
3074F		350	319	$0.00
1125F		14	13	$0.00
G8926	Spiro no perf or doc	15	12	$0.00
4004F		7,345	6,967	$0.00
G8484	Flu immunize no admin	6,156	5,847	$0.00
G8417	Calc bmi abv up param f/u	12,564	11,932	$0.00
3078F		180	166	$0.00
G8482	Flu immunize order/admin	1,749	1,645	$0.00
2022F		592	571	$0.00
4040F		257	248	$0.00
3046F		27	26	$0.00
1159F		107	98	$0.00
3023F		16	13	$0.00
G8598	Asa/antiplat ther used	93	85	$0.00
1160F		93	86	$0.00
1090F		56	53	$0.00

Medicaid Provider Spending