Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1700816261 · AKRON, OH 44304 · Nurse Practitioner · NPI assigned 07/03/2006

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

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

$690K
Total Medicaid Paid
30,568
Total Claims
14,540
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date07/03/2006

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 $1.79M
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 $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 5,063 $104K
2019 5,286 $127K
2020 4,869 $119K
2021 6,114 $139K
2022 3,846 $73K
2023 3,211 $67K
2024 2,179 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 20,588 7,877 $417K
99233 Prolong inpt eval add15 m 4,124 2,295 $119K
99222 Initial hospital care, per day, moderate complexity 1,777 1,656 $75K
99223 Prolong inpt eval add15 m 572 484 $33K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,603 1,388 $32K
91200 323 297 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 47 33 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42 39 $2K
99221 30 28 $704.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $136.78
36415 Collection of venous blood by venipuncture 14 14 $30.46
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 369 352 $0.00
G8484 Influenza immunization was not administered, reason not given 66 64 $0.00