Summa Physicians LLC
Summa Physicians LLC was paid $482K by Medicaid between Apr 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
AKRON, OH 44304
Next to other Sleep Medicine (Internal Medicine) Physician providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 321 | $853.58 | |
| 2019 | 992 | $17K | |
| 2020 | 6,443 | $56K | |
| 2021 | 13,081 | $135K | |
| 2022 | 9,804 | $104K | |
| 2023 | 3,446 | $84K | |
| 2024incomplete | 3,364 | $85K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 6,040 | 5,506 | $291K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 841 | 797 | $32K |
| 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 | 5.0% | 341 | 316 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 408 | 401 | $21K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.1% | 327 | 323 | $20K |
| 95811 | 4.1% | 325 | 312 | $20K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.0% | 965 | 509 | $19K |
| 94060 | 3.5% | 1,892 | 1,774 | $17K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 621 | 282 | $12K |
| 94727 | 2.0% | 1,961 | 1,829 | $10K | |
| 94729 | 1.8% | 2,113 | 1,966 | $9K | |
| 31653 | <1% | 12 | 12 | $2K |
22 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 53 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 175 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | $875.96 |
| 99254 | <1% | 12 | $864.64 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $855.95 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $406.71 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $364.90 |
| 31624 | <1% | 12 | $172.18 | |
| 3017F | 0% | 2,323 | $0.00 | |
| 1036F | 0% | 4,018 | $0.00 | |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 624 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,327 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | $0.00 |
| 1123F | 0% | 16 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,388 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,463 | $0.00 |
| 4004F | 0% | 736 | $0.00 | |
| 3023F | 0% | 854 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,436 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 61 | $0.00 |
| 2022F | 0% | 25 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.