Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1689851891 · CUYAHOGA FALLS, OH 44223 · Nurse Practitioner · NPI assigned 01/30/2008

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

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

$767K
Total Medicaid Paid
52,334
Total Claims
48,458
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/30/2008

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 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 6,088 $84K
2019 7,194 $105K
2020 10,918 $139K
2021 12,069 $150K
2022 9,138 $119K
2023 4,412 $115K
2024 2,515 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 8,498 7,807 $494K
99213 6,689 5,880 $254K
90832 163 130 $6K
99212 137 130 $3K
90686 205 202 $3K
90471 176 169 $2K
83036 248 213 $1K
99204 13 13 $1K
99385 14 13 $849.50
99203 13 13 $802.90
90688 36 35 $488.76
3008F 29 28 $91.00
81003 15 14 $26.24
3044F 149 112 $10.00
3074F 1,286 1,082 $5.00
3078F 868 746 $5.00
1036F 6,636 6,248 $0.00
3017F 1,732 1,632 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 694 652 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 411 391 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 732 700 $0.00
1125F 13 12 $0.00
3079F 89 73 $0.00
1123F 13 13 $0.00
G8482 Influenza immunization administered or previously received 640 600 $0.00
4004F 2,438 2,305 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 9,031 8,572 $0.00
1159F 247 202 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,548 5,215 $0.00
G8484 Influenza immunization was not administered, reason not given 5,288 5,019 $0.00
1160F 269 224 $0.00
2022F 14 13 $0.00