Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Summa Physicians LLC

Summa Physicians LLC was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoSUMMA PHYSICIANS LLC
AKRON, OH 44320
33aNPI1396021416assigned 11/03/2011
33bProvider typeSocial Worker
28Total paid$1.35M
24GClaims100,906
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Social Worker providers in Ohio

Rank by total paid#8 of 225
Median peer was paid$12K
This provider vs. median113×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CARSON, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201816,717$192K
201916,026$219K
202019,900$205K
202123,313$232K
202217,977$199K
20234,551$197K
2024incomplete2,422$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77% 20,545 19,157 $1.04M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11% 2,194 2,053 $149K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.4% 2,795 2,520 $100K
80305 2.1% 4,289 4,033 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 672 666 $9K
90686 <1% 367 344 $6K
96150 <1% 263 234 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 106 101 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 363 345 $5K
20610 <1% 45 37 $2K
99152 <1% 177 159 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 166 161 $1K
34 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 43 $963.67
90656 <1% 64 $781.95
90688 <1% 35 $460.57
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 $453.56
82962 <1% 196 $356.36
96156 <1% 63 $166.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 26 $136.22
G0008 Administration of influenza virus vaccine <1% 13 $73.88
3044F <1% 135 $10.00
1123F <1% 401 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 15,923 $0.01
3017F 0% 9,019 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 953 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 702 $0.00
1036F 0% 9,976 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,437 $0.00
3014F 0% 150 $0.00
3079F 0% 160 $0.00
3074F 0% 350 $0.00
1125F 0% 14 $0.00
G8926 Spirometry test not performed or documented, reason not given 0% 15 $0.00
4004F 0% 7,345 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 6,156 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 12,564 $0.00
3078F 0% 180 $0.00
G8482 Influenza immunization administered or previously received 0% 1,749 $0.00
2022F 0% 592 $0.00
4040F 0% 257 $0.00
3046F 0% 27 $0.00
1159F 0% 107 $0.00
3023F 0% 16 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 93 $0.00
1160F 0% 93 $0.00
1090F 0% 56 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
Same official

Other billing entities under CARSON, WENDY

Full network →
ProviderLocationPaid
Summa Physicians LLCAkron, OH$3.69M
Summa Physicians LLCAkron, OH$2.28M
Summa Physicians LLCAkron, OH$2.18M
Summa Physicians LLCAkron, OH$2.11M
Summa Physicians LLCAkron, OH$1.79M
Summa Physicians LLCAkron, OH$1.42M
Summa Physicians LLCAkron, OH$1.40M
Summa Physicians LLCUniontown, OH$1.12M
Summa Physicians LLCTallmadge, OH$1.05M
Summa Physicians LLCAkron, OH$1.01M
Summa Physicians LLCAkron, OH$996K
Summa Physicians LLCAkron, OH$853K
Summa Physicians LLCAkron, OH$828K
Summa Physicians LLCAkron, OH$798K
Summa Physicians LLCCuyahoga Falls, OH$767K
Summa Physicians LLCAkron, OH$711K
Summa Physicians LLCAkron, OH$690K
Summa Physicians LLCAkron, OH$639K
Summa Physicians LLCWadsworth, OH$505K
Summa Physicians LLCAkron, OH$433K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.