Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Summa Physicians LLC

Summa Physicians LLC was paid $1.12M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoSUMMA PHYSICIANS LLC
UNIONTOWN, OH 44685
33aNPI1689707655assigned 03/13/2007
33bProvider typeSurgery Physician
28Total paid$1.12M
24GClaims60,741
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in Ohio

Rank by total paid#7 of 82
Median peer was paid$14K
This provider vs. median80×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CARSON, WENDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201812,476$206K
20199,362$177K
202010,282$175K
202111,090$180K
202210,410$148K
20234,147$146K
2024incomplete2,974$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70% 14,202 13,230 $790K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.4% 2,796 2,491 $105K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.8% 2,420 716 $77K
90792 Psychiatric diagnostic evaluation with medical services 4.5% 764 714 $51K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.8% 522 504 $43K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 230 221 $17K
99239 Hospital discharge day management, more than 30 minutes 1.3% 438 405 $15K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.2% 534 198 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 691 618 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 66 65 $4K
95251 <1% 172 135 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 98 95 $1K
27 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 74 $961.80
90686 <1% 40 $635.50
90688 <1% 40 $544.95
90834 Psychotherapy session, about 45 minutes <1% 15 $479.46
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 $419.71
96160 <1% 28 $89.49
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 6,740 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 10,260 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 5,004 $0.00
2022F 0% 777 $0.00
4004F 0% 1,097 $0.00
G8482 Influenza immunization administered or previously received 0% 232 $0.00
1160F 0% 193 $0.00
1159F 0% 191 $0.00
3078F 0% 678 $0.00
3046F 0% 171 $0.00
3014F 0% 75 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 151 $0.00
1036F 0% 7,607 $0.00
3079F 0% 83 $0.00
3017F 0% 2,566 $0.00
3074F 0% 941 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 386 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 293 $0.00
2010F 0% 112 $0.00
3044F 0% 19 $0.00
2000F 0% 20 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
Same official

Other billing entities under CARSON, WENDY

Full network →
ProviderLocationPaid
Summa Physicians LLCAkron, OH$3.69M
Summa Physicians LLCAkron, OH$2.28M
Summa Physicians LLCAkron, OH$2.18M
Summa Physicians LLCAkron, OH$2.11M
Summa Physicians LLCAkron, OH$1.79M
Summa Physicians LLCAkron, OH$1.42M
Summa Physicians LLCAkron, OH$1.40M
Summa Physicians LLCTallmadge, OH$1.05M
Summa Physicians LLCAkron, OH$1.01M
Summa Physicians LLCAkron, OH$996K
Summa Physicians LLCAkron, OH$853K
Summa Physicians LLCAkron, OH$828K
Summa Physicians LLCAkron, OH$798K
Summa Physicians LLCCuyahoga Falls, OH$767K
Summa Physicians LLCAkron, OH$711K
Summa Physicians LLCAkron, OH$690K
Summa Physicians LLCAkron, OH$639K
Summa Physicians LLCWadsworth, OH$505K
Summa Physicians LLCAkron, OH$433K
Summa Physicians LLCAkron, OH$417K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.