Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1770994790 · AKRON, OH 44320 · Clinical Nurse Specialist · NPI assigned 05/13/2014

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

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

$272K
Total Medicaid Paid
14,561
Total Claims
14,067
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date05/13/2014

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 12,798 $210K
2019 1,027 $18K
2022 14 $0.00
2023 330 $21K
2024 392 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,266 3,143 $212K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 360 353 $15K
90688 491 485 $9K
99215 Prolong outpt/office vis 102 81 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 293 278 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 593 587 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 78 56 $6K
83036 Hemoglobin; glycosylated (A1C) 189 187 $2K
90686 72 72 $1K
95811 16 13 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $1K
95810 Polysomnography; sleep staging with 4 or more additional parameters 16 12 $936.65
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 12 $788.45
J1885 Injection, ketorolac tromethamine, per 15 mg 84 82 $175.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 25 $98.73
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 857 824 $0.00
G8484 Influenza immunization was not administered, reason not given 562 547 $0.00
G8482 Influenza immunization administered or previously received 493 476 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,976 1,915 $0.00
2022F 112 108 $0.00
3046F 182 175 $0.00
3078F 79 77 $0.00
4004F 519 504 $0.00
4040F 14 12 $0.00
3045F 62 59 $0.00
3077F 59 59 $0.00
3288F 13 13 $0.00
1036F 1,536 1,488 $0.00
3079F 45 45 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 636 617 $0.00
3017F 950 919 $0.00
3014F 119 116 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 538 528 $0.00
3044F 96 93 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 14 12 $0.00
3074F 63 62 $0.00
3075F 19 19 $0.00