Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1801058631 · TALLMADGE, OH 44278 · Obesity Medicine (Preventive Medicine) Physician · NPI assigned 07/02/2008

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

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

$1.05M
Total Medicaid Paid
80,899
Total Claims
73,858
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date07/02/2008

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 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
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,765 $108K
2019 11,923 $131K
2020 13,146 $129K
2021 18,311 $185K
2022 12,582 $150K
2023 7,530 $206K
2024 5,642 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,994 12,511 $729K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,828 7,891 $300K
90686 388 368 $6K
80305 846 699 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 69 44 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 186 168 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 23 12 $1K
90656 62 60 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $1K
83036 Hemoglobin; glycosylated (A1C) 206 162 $976.69
36415 Collection of venous blood by venipuncture 448 413 $818.41
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 26 $649.89
99233 Prolong inpt eval add15 m 32 12 $499.46
90688 30 30 $442.26
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 17 $226.74
3008F 13 13 $38.50
81003 25 25 $31.96
3044F 266 212 $10.00
3078F 1,721 1,555 $10.00
3074F 2,002 1,820 $5.00
3017F 4,669 4,259 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,433 1,323 $0.00
1036F 8,488 7,859 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 571 526 $0.00
3079F 271 250 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 59 54 $0.00
3075F 112 105 $0.00
1123F 40 37 $0.00
3014F 14 14 $0.00
1125F 37 36 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,097 13,099 $0.00
G8482 Influenza immunization administered or previously received 1,303 1,209 $0.00
4004F 4,912 4,542 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 8,520 7,852 $0.00
1159F 374 356 $0.00
G8484 Influenza immunization was not administered, reason not given 6,043 5,573 $0.00
1160F 362 347 $0.00
2022F 327 301 $0.00
4040F 27 24 $0.00
3046F 26 25 $0.00
1100F 14 14 $0.00