Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1811020753 · AKRON, OH 44320 · Internal Medicine Physician · NPI assigned 03/13/2007

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

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

$433K
Total Medicaid Paid
23,405
Total Claims
21,293
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date03/13/2007

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 $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,169 $57K
2019 3,210 $61K
2020 3,867 $61K
2021 5,925 $86K
2022 4,922 $80K
2023 2,007 $75K
2024 305 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,662 6,081 $349K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,227 1,080 $47K
99233 Prolong inpt eval add15 m 592 271 $18K
99232 Subsequent hospital care, per day, moderate complexity 230 95 $6K
99223 Prolong inpt eval add15 m 83 81 $5K
99222 Initial hospital care, per day, moderate complexity 45 43 $2K
90686 120 118 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 66 59 $2K
99239 Hospital discharge day management, more than 30 minutes 29 27 $817.91
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 55 55 $670.56
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,716 3,499 $0.01
G8484 Influenza immunization was not administered, reason not given 1,784 1,668 $0.00
2022F 63 61 $0.00
4004F 948 882 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,490 2,322 $0.00
1159F 89 87 $0.00
G8482 Influenza immunization administered or previously received 178 170 $0.00
3078F 96 86 $0.00
1160F 89 87 $0.00
3017F 1,544 1,445 $0.00
1036F 2,597 2,432 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 108 104 $0.00
3074F 133 121 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 262 243 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 59 56 $0.00
3044F 109 92 $0.00
3079F 18 16 $0.00
1123F 13 12 $0.00