Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1760627780 · WADSWORTH, OH 44281 · Surgery Physician · NPI assigned 12/04/2008

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

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

$391K
Total Medicaid Paid
20,774
Total Claims
18,526
Beneficiary Records
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/04/2008

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 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 3,736 $53K
2019 3,336 $52K
2020 3,437 $54K
2021 4,364 $66K
2022 3,688 $58K
2023 1,524 $74K
2024 689 $33K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,539 5,690 $295K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 633 515 $39K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 434 340 $25K
76830 Ultrasound, transvaginal 278 250 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 138 135 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 49 39 $4K
87210 12 12 $55.08
81002 12 12 $13.70
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,039 4,591 $0.00
G8484 Influenza immunization was not administered, reason not given 2,559 2,363 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 997 899 $0.00
4004F 251 227 $0.00
1036F 3,338 3,018 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 481 423 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 12 $0.00