Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1497064505 · AKRON, OH 44304 · Surgery Physician · NPI assigned 10/07/2010

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

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

$1.79M
Total Medicaid Paid
59,650
Total Claims
42,234
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date10/07/2010

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 8,518 $230K
2019 12,010 $307K
2020 12,350 $373K
2021 12,301 $382K
2022 12,706 $424K
2023 1,048 $53K
2024 717 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,942 6,540 $539K
99233 Prolong inpt eval add15 m 9,107 4,561 $313K
99232 Subsequent hospital care, per day, moderate complexity 9,602 5,532 $236K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,603 3,722 $178K
90792 Psychiatric diagnostic evaluation with medical services 2,184 2,032 $159K
99222 Initial hospital care, per day, moderate complexity 3,003 2,862 $144K
99223 Prolong inpt eval add15 m 1,537 1,426 $107K
99238 Hospital discharge day management, 30 minutes or less 1,558 1,466 $44K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,437 1,324 $36K
99309 Subsequent nursing facility care, per day, low to moderate complexity 975 701 $13K
99239 Hospital discharge day management, more than 30 minutes 228 218 $9K
99215 Prolong outpt/office vis 64 43 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 168 67 $3K
99221 58 57 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66 57 $2K
99406 17 17 $156.05
G8484 Influenza immunization was not administered, reason not given 2,193 1,671 $70.93
1123F 99 80 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 292 222 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 7,421 5,602 $0.00
1036F 195 182 $0.00
3017F 99 86 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 31 27 $0.00
1101F 17 12 $0.00
4004F 3,368 2,547 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 836 696 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 481 421 $0.00
G8421 Bmi not documented and no reason is given 69 63 $0.00