Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1528328911 · FAIRLAWN, OH 44333 · Family Nurse Practitioner · NPI assigned 05/21/2012

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

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

$103K
Total Medicaid Paid
5,350
Total Claims
4,783
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/21/2012

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 2,643 $32K
2019 1,393 $20K
2022 74 $3K
2023 686 $27K
2024 554 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 892 829 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 737 633 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 284 223 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 91 78 $5K
20610 138 66 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $247.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 14 13 $195.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 36 13 $124.23
36415 Collection of venous blood by venipuncture 41 37 $75.90
1036F 659 611 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 14 13 $0.00
3017F 218 204 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 29 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,005 936 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 583 543 $0.00
G8484 Influenza immunization was not administered, reason not given 370 343 $0.00
4004F 179 162 $0.00
G8482 Influenza immunization administered or previously received 47 42 $0.00