Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1649681917 · AKRON, OH 44304 · Clinical Psychologist · NPI assigned 05/08/2014

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

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

$290K
Total Medicaid Paid
7,698
Total Claims
5,986
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/08/2014

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 663 $27K
2019 932 $35K
2020 824 $31K
2021 1,306 $45K
2022 1,520 $44K
2023 1,622 $60K
2024 831 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90791 Psychiatric diagnostic evaluation 2,401 2,170 $135K
99232 Subsequent hospital care, per day, moderate complexity 1,907 1,170 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 613 559 $34K
90792 Psychiatric diagnostic evaluation with medical services 383 315 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,161 749 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 346 313 $11K
99222 Initial hospital care, per day, moderate complexity 262 214 $11K
99233 Prolong inpt eval add15 m 270 199 $7K
90837 Psychotherapy, 53 minutes with patient 99 68 $7K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 46 44 $3K
99221 99 90 $3K
99284 Emergency department visit for the evaluation and management, high severity 39 29 $2K
90834 Psychotherapy, 45 minutes with patient 17 15 $976.04
G8484 Influenza immunization was not administered, reason not given 15 13 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 40 38 $0.00