Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1568905800 · AKRON, OH 44304 · Physician Assistant · NPI assigned 11/18/2016

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

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

$51K
Total Medicaid Paid
7,348
Total Claims
6,884
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date11/18/2016

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 2,153 $10K
2019 1,781 $11K
2020 1,120 $10K
2021 1,147 $4K
2022 821 $3K
2023 126 $4K
2024 200 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 927 856 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 249 227 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 93 92 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 63 60 $3K
81003 1,019 963 $1K
51798 112 107 $988.91
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 585 503 $925.18
52000 12 12 $903.76
99309 Subsequent nursing facility care, per day, low to moderate complexity 20 13 $532.02
93296 12 12 $95.21
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,282 2,165 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 304 292 $0.00
G8484 Influenza immunization was not administered, reason not given 763 720 $0.00
G8482 Influenza immunization administered or previously received 12 12 $0.00
1036F 575 547 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 72 70 $0.00
3017F 248 233 $0.00