Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1538623525 · FAIRLAWN, OH 44333 · Physician Assistant · NPI assigned 01/24/2019

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

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

$244K
Total Medicaid Paid
15,235
Total Claims
14,468
Beneficiaries
20
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/24/2019

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
2020 2,293 $24K
2021 4,818 $40K
2022 5,340 $53K
2023 1,534 $71K
2024 1,250 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,099 1,921 $104K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 840 776 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,719 1,601 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 262 256 $13K
64615 71 52 $6K
J0585 Injection, onabotulinumtoxina, 1 unit 196 64 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52 49 $1K
99215 Prolong outpt/office vis 12 12 $847.53
3017F 1,135 1,103 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 290 285 $0.00
1036F 1,707 1,666 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 200 195 $0.00
1123F 82 80 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,096 3,011 $0.00
4004F 752 739 $0.00
G8484 Influenza immunization was not administered, reason not given 1,134 1,096 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,505 1,481 $0.00
1090F 12 12 $0.00
G8482 Influenza immunization administered or previously received 58 56 $0.00
4040F 13 13 $0.00