Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1588967707 · BARBERTON, OH 44203 · Social Worker · NPI assigned 12/09/2010

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

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

$375K
Total Medicaid Paid
58,605
Total Claims
54,727
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/09/2010

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 22,955 $127K
2019 17,864 $111K
2020 17,174 $114K
2021 207 $7K
2022 152 $6K
2023 123 $6K
2024 130 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,343 13,359 $335K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 513 503 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 371 358 $18K
99222 Initial hospital care, per day, moderate complexity 29 29 $1K
99232 Subsequent hospital care, per day, moderate complexity 32 15 $691.85
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $149.12
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,689 1,510 $0.00
3017F 3,372 3,148 $0.00
1036F 6,235 5,861 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 581 535 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 934 883 $0.00
3014F 40 39 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,652 7,187 $0.00
G8484 Influenza immunization was not administered, reason not given 4,880 4,577 $0.00
4004F 5,550 5,116 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,769 10,059 $0.00
G8482 Influenza immunization administered or previously received 1,520 1,457 $0.00
2022F 83 79 $0.00