Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1548433436 · AKRON, OH 44304 · Nurse Practitioner · NPI assigned 04/11/2008

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

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

$1.01M
Total Medicaid Paid
88,216
Total Claims
81,142
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date04/11/2008

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 $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
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 622 $17K
2019 558 $15K
2020 18,370 $152K
2021 27,759 $212K
2022 21,104 $185K
2023 10,703 $236K
2024 9,100 $194K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,183 19,370 $750K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,634 4,400 $115K
99232 Subsequent hospital care, per day, moderate complexity 3,899 1,563 $90K
99233 Prolong inpt eval add15 m 476 228 $16K
99222 Initial hospital care, per day, moderate complexity 327 301 $15K
99238 Hospital discharge day management, 30 minutes or less 350 333 $9K
99239 Hospital discharge day management, more than 30 minutes 184 173 $7K
99223 Prolong inpt eval add15 m 26 26 $2K
90791 Psychiatric diagnostic evaluation 26 26 $2K
90832 Psychotherapy, 30 minutes with patient 86 44 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25 12 $981.64
99231 Subsequent hospital care, per day, straightforward or low complexity 47 27 $709.97
99221 28 27 $707.06
99219 12 12 $663.91
3078F 2,257 2,098 $5.00
3074F 2,301 2,134 $5.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,981 10,630 $0.01
2022F 1,376 1,299 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 8,144 7,849 $0.00
G8484 Influenza immunization was not administered, reason not given 3,578 3,484 $0.00
G8482 Influenza immunization administered or previously received 2,330 2,243 $0.00
4004F 5,145 4,995 $0.00
1100F 226 198 $0.00
1159F 399 376 $0.00
3077F 47 42 $0.00
4040F 41 40 $0.00
1160F 167 152 $0.00
3023F 14 13 $0.00
3046F 29 27 $0.00
1036F 7,400 7,135 $0.00
3044F 1,354 1,121 $0.00
3017F 6,772 6,528 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,225 1,192 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 2,033 1,995 $0.00
1125F 80 74 $0.00
3079F 190 172 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 743 726 $0.00
3075F 12 12 $0.00
1123F 41 40 $0.00
G8926 Spirometry test not performed or documented, reason not given 14 13 $0.00
99484 14 12 $0.00