SUMMA PHYSICIANS LLC

$3.69M

Total Medicaid Paid

212,778

Total Claims

177,937

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		46,697	37,940	$2.19M
99212		6,355	4,693	$265K
J1050	Medroxyprogesterone acetate	4,196	3,490	$232K
H1000	Prenatal care atrisk assessm	2,636	2,159	$208K
99214		2,592	2,348	$168K
99395		2,373	2,207	$147K
59430		809	754	$68K
81025		8,480	7,530	$53K
99202		1,273	1,222	$51K
76830		1,728	1,701	$45K
99203		846	735	$41K
96372		2,874	2,587	$38K
99211		1,886	1,737	$35K
H1003	Prenatal at risk education	2,030	1,891	$29K
90715		612	569	$19K
36415		8,195	7,394	$18K
59899		349	346	$14K
90471		836	758	$11K
99204		102	99	$8K
20551		214	115	$8K
99396		94	69	$6K
57454		49	40	$6K
90686		264	261	$5K
76816		143	121	$4K
90688		185	180	$3K
90837		50	37	$3K
76819		126	83	$3K
99385		21	13	$2K
90656		114	80	$1K
76817		45	44	$1K
90853		50	15	$767.50
99283		12	12	$410.63
96150		19	16	$334.27
81002		137	107	$120.81
96159		13	13	$81.24
96156		59	48	$76.17
96158		15	14	$46.66
1036F		24,837	20,475	$0.00
G8420	Calc bmi norm parameters	6,287	5,313	$0.00
G8428	Cur meds not document	3,106	2,784	$0.00
G8419	Calc bmi out nrm param nof/u	10,883	8,585	$0.00
G8482	Flu immunize order/admin	4,218	3,152	$0.00
4004F		7,252	6,131	$0.00
G8427	Docrev cur meds by elig clin	32,620	27,000	$0.00
G8417	Calc bmi abv up param f/u	13,690	11,254	$0.00
G8484	Flu immunize no admin	12,902	11,456	$0.00
0502F		335	221	$0.00
G8421	Bmi not calculated	152	126	$0.00
2022F		17	12	$0.00

Medicaid Provider Spending