Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1619209145 · FAIRLAWN, OH 44333 · Urgent Care Clinic/Center · NPI assigned 02/09/2010

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

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

$889K
Total Medicaid Paid
53,768
Total Claims
50,121
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date02/09/2010

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 7,591 $108K
2019 6,414 $130K
2020 8,455 $95K
2021 12,266 $131K
2022 10,180 $115K
2023 5,223 $173K
2024 3,639 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,692 9,261 $417K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,421 4,160 $273K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,190 2,056 $115K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 707 684 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 365 282 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 171 127 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 615 491 $7K
81025 1,020 898 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 409 403 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 444 220 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 212 169 $5K
81003 1,081 996 $2K
81002 623 502 $1K
71046 Radiologic examination, chest; 2 views 13 12 $244.39
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $183.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $15.78
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,435 10,107 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,840 3,723 $0.00
4004F 2,079 2,019 $0.00
G8484 Influenza immunization was not administered, reason not given 6,228 6,050 $0.00
G8421 Bmi not documented and no reason is given 317 307 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 600 582 $0.00
1036F 6,242 6,046 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 801 768 $0.00
3017F 224 221 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 12 12 $0.00