Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1841440708 · WADSWORTH, OH 44281 · Internal Medicine Physician · NPI assigned 09/26/2008

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

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

$505K
Total Medicaid Paid
33,149
Total Claims
31,066
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date09/26/2008

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 AKRON OH $433K
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,519 $80K
2019 6,113 $81K
2020 5,194 $67K
2021 6,928 $79K
2022 4,675 $66K
2023 2,087 $71K
2024 1,633 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,578 7,059 $428K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,702 1,572 $64K
90837 Psychotherapy, 53 minutes with patient 130 83 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 102 $1K
90686 58 53 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
90688 37 37 $679.62
90656 14 13 $234.55
3008F 14 14 $42.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,971 5,646 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,056 3,785 $0.00
G8484 Influenza immunization was not administered, reason not given 2,918 2,746 $0.00
4004F 2,075 1,948 $0.00
1159F 102 99 $0.00
G8482 Influenza immunization administered or previously received 296 279 $0.00
3078F 236 221 $0.00
1160F 101 98 $0.00
2022F 28 27 $0.00
1036F 4,166 3,906 $0.00
3017F 1,718 1,627 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 284 269 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 441 421 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 549 527 $0.00
3074F 462 433 $0.00
3044F 43 38 $0.00
3014F 25 24 $0.00
3079F 16 14 $0.00
1125F 14 12 $0.00