Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1629216924 · AKRON, OH 44304 · Internal Medicine Physician · NPI assigned 01/26/2009

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

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

$79K
Total Medicaid Paid
10,705
Total Claims
10,024
Beneficiaries
28
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/26/2009

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 4,727 $29K
2019 3,935 $32K
2020 2,043 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 656 623 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 365 351 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 180 175 $9K
99232 Subsequent hospital care, per day, moderate complexity 519 297 $8K
94060 702 688 $7K
99233 Prolong inpt eval add15 m 249 146 $6K
94727 739 725 $3K
94729 744 730 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $2K
99223 Prolong inpt eval add15 m 26 25 $1K
99215 Prolong outpt/office vis 12 12 $846.99
99222 Initial hospital care, per day, moderate complexity 14 12 $406.71
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 14 $362.21
94010 30 28 $146.15
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 14 12 $118.99
99231 Subsequent hospital care, per day, straightforward or low complexity 20 17 $108.43
3023F 498 475 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,538 1,481 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,117 1,076 $0.00
G8484 Influenza immunization was not administered, reason not given 585 565 $0.00
4004F 160 153 $0.00
G8482 Influenza immunization administered or previously received 41 40 $0.00
G8926 Spirometry test not performed or documented, reason not given 495 472 $0.00
1036F 1,103 1,051 $0.00
3017F 729 709 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 98 95 $0.00
3014F 15 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 13 13 $0.00