Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1427009638 · AKRON, OH 44304 · Nurse Practitioner · NPI assigned 05/12/2006

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

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

$1.42M
Total Medicaid Paid
123,113
Total Claims
119,257
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/12/2006

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 $1.40M
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 13,248 $95K
2019 15,942 $91K
2020 21,499 $184K
2021 33,387 $267K
2022 25,874 $235K
2023 6,783 $288K
2024 6,380 $263K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,636 10,986 $420K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,038 16,262 $397K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,289 1,206 $171K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,379 3,227 $166K
90791 Psychiatric diagnostic evaluation 2,228 2,067 $144K
96130 1,053 988 $41K
90832 Psychotherapy, 30 minutes with patient 1,263 1,209 $36K
99205 Prolong outpt/office vis 452 442 $27K
43775 22 12 $13K
47379 43 25 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 85 80 $2K
96101 27 27 $1K
96146 757 699 $727.24
90834 Psychotherapy, 45 minutes with patient 16 14 $444.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $211.64
4004F 2,293 2,264 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 22,976 22,482 $0.00
G8484 Influenza immunization was not administered, reason not given 10,120 9,887 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 20,097 19,684 $0.00
2022F 1,806 1,777 $0.00
3046F 925 900 $0.00
G8482 Influenza immunization administered or previously received 546 534 $0.00
1036F 19,788 19,336 $0.00
3014F 82 79 $0.00
3017F 4,230 4,141 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 795 768 $0.00
99024 112 108 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 42 41 $0.00