Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1689707655 · UNIONTOWN, OH 44685 · Surgery Physician · NPI assigned 03/13/2007

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

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

$1.12M
Total Medicaid Paid
60,741
Total Claims
55,601
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date03/13/2007

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 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 12,476 $206K
2019 9,362 $177K
2020 10,282 $175K
2021 11,090 $180K
2022 10,410 $148K
2023 4,147 $146K
2024 2,974 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,202 13,230 $790K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,796 2,491 $105K
99233 Prolong inpt eval add15 m 2,420 716 $77K
90792 Psychiatric diagnostic evaluation with medical services 764 714 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 522 504 $43K
99215 Prolong outpt/office vis 230 221 $17K
99239 Hospital discharge day management, more than 30 minutes 438 405 $15K
99232 Subsequent hospital care, per day, moderate complexity 534 198 $13K
83036 Hemoglobin; glycosylated (A1C) 691 618 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 66 65 $4K
95251 172 135 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 98 95 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 74 71 $961.80
90686 40 39 $635.50
90688 40 39 $544.95
90834 Psychotherapy, 45 minutes with patient 15 12 $479.46
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 13 $419.71
96160 28 26 $89.49
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 6,740 6,448 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,260 9,862 $0.00
G8484 Influenza immunization was not administered, reason not given 5,004 4,813 $0.00
2022F 777 763 $0.00
4004F 1,097 1,053 $0.00
G8482 Influenza immunization administered or previously received 232 220 $0.00
1160F 193 180 $0.00
1159F 191 175 $0.00
3078F 678 631 $0.00
3046F 171 170 $0.00
3014F 75 73 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 151 145 $0.00
1036F 7,607 7,279 $0.00
3079F 83 76 $0.00
3017F 2,566 2,468 $0.00
3074F 941 856 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 386 370 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 293 280 $0.00
2010F 112 111 $0.00
3044F 19 16 $0.00
2000F 20 20 $0.00