Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1427456508 · AKRON, OH 44320 · Gynecology Physician · NPI assigned 12/05/2014

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

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

$1.58M
Total Medicaid Paid
69,291
Total Claims
59,519
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/05/2014

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 12,884 $222K
2019 12,032 $247K
2020 13,001 $249K
2021 12,472 $220K
2022 10,227 $202K
2023 5,556 $281K
2024 3,119 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,631 15,298 $862K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,487 2,261 $154K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,584 1,479 $142K
76830 Ultrasound, transvaginal 2,049 1,925 $131K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,851 1,638 $114K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 887 807 $56K
76819 Fetal biophysical profile; without non-stress testing 843 423 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 698 550 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 186 139 $11K
76801 118 112 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 135 104 $8K
76813 52 40 $3K
54150 40 37 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 32 31 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 20 12 $1K
87210 217 210 $803.74
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,565 3,088 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,105 12,339 $0.00
G8484 Influenza immunization was not administered, reason not given 7,815 7,062 $0.00
G8482 Influenza immunization administered or previously received 130 92 $0.00
4004F 16 14 $0.00
1036F 11,395 9,863 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,236 1,816 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 199 179 $0.00