Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1831661073 · AKRON, OH 44312 · Urgent Care Clinic/Center · NPI assigned 12/28/2018

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

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

$503K
Total Medicaid Paid
25,391
Total Claims
23,046
Beneficiaries
22
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/28/2018

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
2019 515 $15K
2020 2,602 $26K
2021 6,360 $70K
2022 8,680 $124K
2023 4,423 $155K
2024 2,811 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,902 7,472 $354K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,921 1,717 $98K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 399 378 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 785 537 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 237 201 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 71 57 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 271 270 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 56 40 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 30 $1K
81025 76 67 $459.08
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 16 $390.90
81002 102 81 $222.06
81003 127 127 $198.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28 14 $30.45
1036F 2,043 1,991 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 239 235 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 255 252 $0.00
3017F 70 68 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,700 1,659 $0.00
4004F 865 848 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,272 4,163 $0.00
G8484 Influenza immunization was not administered, reason not given 2,905 2,823 $0.00