Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1427282177 · BARBERTON, OH 44203 · Family Medicine Physician · NPI assigned 05/11/2009

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

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

$191K
Total Medicaid Paid
17,058
Total Claims
15,923
Beneficiaries
28
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/11/2009

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 3,732 $32K
2019 3,578 $39K
2020 2,512 $29K
2021 4,049 $40K
2022 2,542 $28K
2023 645 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,535 2,373 $142K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,240 1,072 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $898.30
90688 44 44 $736.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 58 58 $615.42
90686 12 12 $148.86
1036F 2,202 2,063 $0.00
3014F 119 112 $0.00
3017F 1,258 1,160 $0.00
2000F 390 369 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 310 287 $0.00
3008F 208 201 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 101 95 $0.00
3074F 18 17 $0.00
1125F 13 13 $0.00
3044F 32 27 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 65 63 $0.00
3079F 15 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,363 3,174 $0.00
4004F 992 927 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,984 1,865 $0.00
G8484 Influenza immunization was not administered, reason not given 1,130 1,062 $0.00
G8482 Influenza immunization administered or previously received 138 128 $0.00
1090F 464 442 $0.00
4040F 16 12 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 251 239 $0.00
1160F 43 40 $0.00
1159F 43 41 $0.00