Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1609027838 · CUYAHOGA FALLS, OH 44223 · Nurse Practitioner · NPI assigned 10/07/2008

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

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

$160K
Total Medicaid Paid
11,761
Total Claims
11,050
Beneficiaries
18
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date10/07/2008

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 6,297 $79K
2019 5,464 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,951 1,864 $118K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,024 965 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51 51 $681.47
83036 Hemoglobin; glycosylated (A1C) 87 85 $627.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 17 $286.75
90686 12 12 $218.83
90688 12 12 $188.19
81003 27 26 $57.73
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,364 2,209 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,363 1,266 $0.00
G8484 Influenza immunization was not administered, reason not given 914 862 $0.00
4004F 773 716 $0.00
G8482 Influenza immunization administered or previously received 194 183 $0.00
2022F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 357 336 $0.00
1036F 1,569 1,475 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 386 366 $0.00
3017F 638 593 $0.00