Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1629476791 · UNIONTOWN, OH 44685 · Nurse Practitioner · NPI assigned 12/05/2014

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

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

$232K
Total Medicaid Paid
11,569
Total Claims
9,736
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/05/2014

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 1,301 $24K
2019 2,187 $35K
2020 2,465 $42K
2021 2,060 $26K
2022 1,837 $27K
2023 1,192 $55K
2024 527 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,714 3,778 $216K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 163 145 $10K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 33 31 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25 24 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 17 15 $1K
76830 Ultrasound, transvaginal 15 14 $935.08
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,602 2,239 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 85 71 $0.00
G8484 Influenza immunization was not administered, reason not given 1,938 1,763 $0.00
1036F 1,853 1,566 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 124 90 $0.00