Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1639309735 · AKRON, OH 44304 · Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician · NPI assigned 07/23/2009

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

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

$23K
Total Medicaid Paid
4,173
Total Claims
3,906
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date07/23/2009

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 387 $649.33
2019 493 $1K
2020 474 $1K
2021 1,543 $3K
2022 1,064 $10K
2023 184 $5K
2024 28 $901.94

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 583 436 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50 50 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 114 111 $2K
76830 Ultrasound, transvaginal 40 40 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $605.34
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,630 1,578 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 312 298 $0.00
G8484 Influenza immunization was not administered, reason not given 662 636 $0.00
1036F 620 601 $0.00
3017F 133 130 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15 12 $0.00