Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1699114801 · AKRON, OH 44304 · Nurse Practitioner · NPI assigned 06/20/2013

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

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

$877K
Total Medicaid Paid
49,331
Total Claims
42,804
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date06/20/2013

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 5,849 $86K
2019 5,092 $93K
2020 6,945 $117K
2021 10,729 $159K
2022 10,409 $139K
2023 6,031 $177K
2024 4,276 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,051 9,227 $544K
99233 Prolong inpt eval add15 m 3,901 1,590 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,072 1,869 $78K
99232 Subsequent hospital care, per day, moderate complexity 2,376 963 $45K
99215 Prolong outpt/office vis 549 483 $40K
99223 Prolong inpt eval add15 m 443 419 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 149 139 $11K
99239 Hospital discharge day management, more than 30 minutes 383 351 $11K
90686 272 250 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 343 326 $4K
99222 Initial hospital care, per day, moderate complexity 105 103 $4K
99385 48 45 $2K
99220 39 37 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 77 40 $1K
99205 Prolong outpt/office vis 12 12 $1K
90688 51 51 $905.27
99238 Hospital discharge day management, 30 minutes or less 42 39 $891.66
99221 22 17 $699.54
90656 28 27 $630.56
83036 Hemoglobin; glycosylated (A1C) 115 100 $628.11
99219 13 12 $530.01
36415 Collection of venous blood by venipuncture 155 151 $292.18
96160 17 15 $43.20
3074F 1,305 1,177 $5.00
1036F 4,221 4,016 $0.00
3017F 3,359 3,183 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 246 237 $0.00
3079F 519 465 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 442 413 $0.00
3080F 13 12 $0.00
1123F 111 101 $0.00
1125F 29 27 $0.00
3044F 244 180 $0.00
3075F 31 28 $0.00
3014F 12 12 $0.00
4004F 2,027 1,955 $0.00
G8484 Influenza immunization was not administered, reason not given 2,469 2,345 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,942 3,747 $0.00
2022F 302 296 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,576 6,278 $0.00
1159F 221 206 $0.00
3078F 981 889 $0.00
G8482 Influenza immunization administered or previously received 683 653 $0.00
1160F 228 214 $0.00
3077F 26 24 $0.00
4040F 41 40 $0.00
3046F 12 12 $0.00