Behavioral
Summa Physicians LLC
Summa Physicians LLC was paid $375K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoSUMMA PHYSICIANS LLC
BARBERTON, OH 44203
BARBERTON, OH 44203
33aNPI1588967707assigned 12/09/2010
33bProvider typeSocial Worker
28Total paid$375K
24GClaims58,605
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Social Worker providers in Ohio
Rank by total paid#15 of 225
Median peer was paid$12K
This provider vs. median31×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CARSON, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,955 | $127K | |
| 2019 | 17,864 | $111K | |
| 2020 | 17,174 | $114K | |
| 2021 | 207 | $7K | |
| 2022 | 152 | $6K | |
| 2023 | 123 | $6K | |
| 2024incomplete | 130 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 89% | 14,343 | 13,359 | $335K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.4% | 513 | 503 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 371 | 358 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 29 | 29 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 32 | 15 | $691.85 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $149.12 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,689 | 1,510 | $0.00 |
| 3017F | 0% | 3,372 | 3,148 | $0.00 | |
| 1036F | 0% | 6,235 | 5,861 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 581 | 535 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 934 | 883 | $0.00 |
| 3014F | 0% | 40 | 39 | $0.00 |
6 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 7,652 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 4,880 | $0.00 |
| 4004F | 0% | 5,550 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 10,769 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,520 | $0.00 |
| 2022F | 0% | 83 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.