Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1689615148 · AKRON, OH 44304 · Physician Assistant · NPI assigned 06/08/2006

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

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

$1.79M
Total Medicaid Paid
191,546
Total Claims
179,627
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date06/08/2006

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 $1.42M
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
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,797 $231K
2019 32,169 $253K
2020 39,506 $286K
2021 37,590 $260K
2022 24,501 $202K
2023 16,350 $311K
2024 11,633 $244K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,315 23,139 $952K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,002 29,571 $804K
90832 Psychotherapy, 30 minutes with patient 401 260 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 387 330 $5K
99232 Subsequent hospital care, per day, moderate complexity 188 76 $5K
90853 Group psychotherapy (other than of a multiple-family group) 88 49 $2K
99239 Hospital discharge day management, more than 30 minutes 47 43 $2K
99233 Prolong inpt eval add15 m 22 12 $941.42
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 26 $910.58
99309 Subsequent nursing facility care, per day, low to moderate complexity 49 36 $808.24
99349 15 12 $688.07
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $681.95
90791 Psychiatric diagnostic evaluation 20 15 $665.12
99215 Prolong outpt/office vis 15 12 $648.18
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $574.16
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 95 94 $515.69
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $383.18
99238 Hospital discharge day management, 30 minutes or less 12 12 $295.64
99348 15 14 $243.25
3008F 30 29 $59.50
3074F 4,699 4,437 $25.01
3079F 758 722 $15.01
3078F 2,804 2,641 $5.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 20,224 19,176 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 20,276 19,444 $0.00
4004F 12,202 11,428 $0.00
2022F 667 643 $0.00
G8482 Influenza immunization administered or previously received 7,096 6,761 $0.00
G8484 Influenza immunization was not administered, reason not given 11,736 11,166 $0.00
1159F 824 798 $0.00
1160F 539 523 $0.00
3046F 25 24 $0.00
3077F 25 24 $0.00
1036F 20,670 19,647 $0.00
3017F 8,885 8,406 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,561 2,376 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,145 3,843 $0.00
3044F 1,808 1,458 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 12,408 11,926 $0.00
3075F 67 65 $0.00
1125F 194 190 $0.00
3014F 70 65 $0.00
3080F 88 86 $0.00