Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1861637472 · AKRON, OH 44320 · Nurse Practitioner · NPI assigned 12/10/2008

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

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

$853K
Total Medicaid Paid
51,732
Total Claims
48,898
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date12/10/2008

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 $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 6,706 $67K
2019 4,666 $70K
2020 12,636 $105K
2021 12,507 $126K
2022 7,561 $95K
2023 4,720 $235K
2024 2,936 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,356 6,303 $372K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,744 5,455 $206K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,607 2,184 $169K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,809 1,770 $59K
11102 639 576 $23K
11100 287 276 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 190 166 $9K
11900 59 36 $2K
17110 13 13 $750.55
99201 27 27 $500.52
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 37 27 $483.49
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $338.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 105 74 $167.15
J3590 Unclassified biologics 19 13 $0.05
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,122 7,909 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,915 3,808 $0.00
G8484 Influenza immunization was not administered, reason not given 4,998 4,864 $0.00
4004F 2,892 2,808 $0.00
G8421 Bmi not documented and no reason is given 1,195 1,170 $0.00
G8482 Influenza immunization administered or previously received 143 141 $0.00
3017F 2,466 2,398 $0.00
1036F 6,226 6,072 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 905 878 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,044 1,015 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 853 834 $0.00
3014F 55 55 $0.00
1123F 13 13 $0.00