Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1861639759 · RITTMAN, OH 44270 · Nurse Practitioner · NPI assigned 01/14/2009

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

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

$217K
Total Medicaid Paid
13,712
Total Claims
12,317
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date01/14/2009

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 2,995 $34K
2019 1,480 $18K
2020 1,574 $19K
2021 2,700 $28K
2022 2,308 $30K
2023 1,588 $54K
2024 1,067 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,766 2,481 $153K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,707 1,512 $65K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,042 2,747 $0.00
G8484 Influenza immunization was not administered, reason not given 1,495 1,370 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,441 1,292 $0.00
4004F 696 628 $0.00
3078F 242 201 $0.00
1159F 108 101 $0.00
G8482 Influenza immunization administered or previously received 60 57 $0.00
1160F 109 102 $0.00
1036F 1,255 1,115 $0.00
3017F 345 319 $0.00
3074F 380 332 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 25 24 $0.00
3079F 14 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 27 24 $0.00