Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1548685829 · FAIRLAWN, OH 44333 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 02/24/2014

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

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

$295K
Total Medicaid Paid
19,752
Total Claims
18,096
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date02/24/2014

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 1,394 $17K
2019 2,659 $33K
2020 3,062 $32K
2021 4,829 $52K
2022 4,341 $55K
2023 2,365 $72K
2024 1,102 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,176 2,890 $182K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,774 2,391 $105K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 54 53 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 37 37 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 16 $843.32
83036 Hemoglobin; glycosylated (A1C) 16 15 $109.04
96160 13 12 $43.20
4004F 666 628 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,719 3,460 $0.00
G8484 Influenza immunization was not administered, reason not given 1,990 1,870 $0.00
3078F 283 254 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,166 1,997 $0.00
1159F 110 107 $0.00
1160F 120 116 $0.00
G8482 Influenza immunization administered or previously received 69 64 $0.00
1036F 2,649 2,442 $0.00
3017F 738 685 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 153 143 $0.00
3074F 468 426 $0.00
3079F 119 110 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 145 134 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 141 131 $0.00
3044F 74 64 $0.00
3075F 27 25 $0.00