Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1730691775 · AKRON, OH 44304 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 10/31/2017

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

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

$482K
Total Medicaid Paid
37,451
Total Claims
35,028
Beneficiaries
34
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date10/31/2017

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 321 $853.58
2019 992 $17K
2020 6,443 $56K
2021 13,081 $135K
2022 9,804 $104K
2023 3,446 $84K
2024 3,364 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,040 5,506 $291K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 841 797 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 341 316 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 408 401 $21K
95810 Polysomnography; sleep staging with 4 or more additional parameters 327 323 $20K
95811 325 312 $20K
99233 Prolong inpt eval add15 m 965 509 $19K
94060 1,892 1,774 $17K
99232 Subsequent hospital care, per day, moderate complexity 621 282 $12K
94727 1,961 1,829 $10K
94729 2,113 1,966 $9K
31653 12 12 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 53 38 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 175 108 $1K
99223 Prolong inpt eval add15 m 16 14 $875.96
99254 12 12 $864.64
99215 Prolong outpt/office vis 12 12 $855.95
99222 Initial hospital care, per day, moderate complexity 14 14 $406.71
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $364.90
31624 12 12 $172.18
3017F 2,323 2,263 $0.00
1036F 4,018 3,924 $0.00
G8926 Spirometry test not performed or documented, reason not given 624 614 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,327 1,302 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 13 13 $0.00
1123F 16 16 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,388 4,281 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,463 4,352 $0.00
4004F 736 719 $0.00
3023F 854 836 $0.00
G8484 Influenza immunization was not administered, reason not given 2,436 2,361 $0.00
G8482 Influenza immunization administered or previously received 61 58 $0.00
2022F 25 25 $0.00