Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1548681646 · AKRON, OH 44304 · Obstetrics & Gynecology Physician · NPI assigned 12/17/2013

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

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

$267K
Total Medicaid Paid
8,576
Total Claims
7,167
Beneficiaries
19
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/17/2013

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 5,773 $181K
2019 2,803 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 777 754 $50K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,311 1,263 $49K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,378 1,303 $36K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 770 704 $28K
59025 Fetal non-stress test 1,142 529 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 849 632 $21K
76813 471 454 $20K
76801 593 572 $17K
76820 383 197 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 112 109 $6K
76819 Fetal biophysical profile; without non-stress testing 184 138 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 118 53 $2K
99221 30 29 $913.91
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $681.96
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 50 45 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 86 83 $0.00
G8484 Influenza immunization was not administered, reason not given 71 67 $0.00
1036F 185 172 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 51 48 $0.00