Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1487821278 · CUYAHOGA FALLS, OH 44223 · Gastroenterology Physician · NPI assigned 05/12/2008

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

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

$110K
Total Medicaid Paid
7,324
Total Claims
7,010
Beneficiaries
12
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/12/2008

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 2,227 $30K
2019 2,613 $43K
2020 2,484 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,292 1,236 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 458 445 $23K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 159 152 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59 56 $2K
3017F 525 498 $0.00
1036F 1,048 998 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 24 24 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,944 1,854 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 760 729 $0.00
G8484 Influenza immunization was not administered, reason not given 791 760 $0.00
4004F 250 244 $0.00