Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1558786822 · AKRON, OH 44304 · Physician Assistant · 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

$468K
Total Medicaid Paid
10,639
Total Claims
7,691
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 481 $12K
2019 236 $7K
2020 792 $17K
2021 1,335 $31K
2022 2,236 $93K
2023 3,255 $153K
2024 2,304 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95720 1,065 499 $128K
95886 3,826 2,612 $74K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 792 434 $42K
99223 Prolong inpt eval add15 m 703 651 $41K
95912 455 409 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 582 536 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 378 325 $28K
95911 261 227 $17K
99232 Subsequent hospital care, per day, moderate complexity 808 480 $14K
99233 Prolong inpt eval add15 m 365 226 $11K
95816 403 379 $11K
99215 Prolong outpt/office vis 138 100 $9K
95909 204 190 $8K
99222 Initial hospital care, per day, moderate complexity 143 133 $5K
95910 84 80 $4K
95819 152 143 $3K
99221 96 95 $3K
95913 13 13 $2K
99254 20 16 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 12 $655.38
99205 Prolong outpt/office vis 13 12 $619.28
95885 16 12 $97.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 59 59 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12 12 $0.00
1036F 36 36 $0.00