Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1821267469 · AKRON, OH 44304 · Ophthalmology Physician · NPI assigned 02/28/2008

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

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

$108K
Total Medicaid Paid
18,546
Total Claims
17,321
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date02/28/2008

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 2,591 $11K
2019 1,916 $9K
2020 2,580 $9K
2021 3,904 $14K
2022 5,815 $22K
2023 963 $17K
2024 777 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,348 3,035 $63K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 577 504 $16K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 26 26 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 152 130 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 332 297 $4K
92134 434 372 $3K
67028 Intravitreal injection of a pharmacologic agent 30 27 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 93 87 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 75 68 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 37 $2K
92083 153 140 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 18 $474.98
92133 71 58 $391.88
92015 Determination of refractive state 25 15 $346.35
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,680 3,496 $0.01
1036F 2,363 2,228 $0.00
3017F 2,087 1,987 $0.00
1123F 312 301 $0.00
3014F 16 14 $0.00
3044F 12 12 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 13 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00
4004F 522 490 $0.00
G8484 Influenza immunization was not administered, reason not given 1,484 1,393 $0.00
2022F 682 669 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,576 1,505 $0.00
G8482 Influenza immunization administered or previously received 53 53 $0.00
3046F 195 182 $0.00
4040F 104 103 $0.00
G8421 Bmi not documented and no reason is given 29 24 $0.00
1090F 25 25 $0.00