Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1396021416 · AKRON, OH 44320 · Social Worker · NPI assigned 11/03/2011

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

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

$1.35M
Total Medicaid Paid
100,906
Total Claims
95,275
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date11/03/2011

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 16,717 $192K
2019 16,026 $219K
2020 19,900 $205K
2021 23,313 $232K
2022 17,977 $199K
2023 4,551 $197K
2024 2,422 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,545 19,157 $1.04M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,194 2,053 $149K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,795 2,520 $100K
80305 4,289 4,033 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 672 666 $9K
90686 367 344 $6K
96150 263 234 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 106 101 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 363 345 $5K
20610 45 37 $2K
99152 177 159 $1K
83036 Hemoglobin; glycosylated (A1C) 166 161 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 38 $963.67
90656 64 41 $781.95
90688 35 34 $460.57
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $453.56
82962 196 185 $356.36
96156 63 48 $166.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 25 $136.22
G0008 Administration of influenza virus vaccine 13 12 $73.88
3044F 135 124 $10.00
1123F 401 386 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15,923 15,143 $0.01
3017F 9,019 8,567 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 953 935 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 702 664 $0.00
1036F 9,976 9,500 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 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 Spirometry test not performed or documented, reason not given 15 12 $0.00
4004F 7,345 6,967 $0.00
G8484 Influenza immunization was not administered, reason not given 6,156 5,847 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12,564 11,932 $0.00
3078F 180 166 $0.00
G8482 Influenza immunization administered or previously received 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 Aspirin or another antiplatelet therapy used 93 85 $0.00
1160F 93 86 $0.00
1090F 56 53 $0.00