Medicaid Provider Spending

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

SUMMA PHYSICIANS LLC

NPI: 1871534545 · AKRON, OH 44304 · Registered Dietitian · NPI assigned 06/10/2006

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

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

$3.69M
Total Medicaid Paid
212,778
Total Claims
177,937
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date06/10/2006

Related Entities

Other providers sharing the same authorized official: CARSON, WENDY

ProviderCityStateTotal Paid
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
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,142 $527K
2019 44,437 $591K
2020 32,919 $471K
2021 32,747 $453K
2022 32,634 $511K
2023 16,479 $664K
2024 10,420 $470K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,697 37,940 $2.19M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,355 4,693 $265K
J1050 Injection, medroxyprogesterone acetate, 1 mg 4,196 3,490 $232K
H1000 Prenatal care, at-risk assessment 2,636 2,159 $208K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,592 2,348 $168K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,373 2,207 $147K
59430 809 754 $68K
81025 8,480 7,530 $53K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,273 1,222 $51K
76830 Ultrasound, transvaginal 1,728 1,701 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 846 735 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,874 2,587 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,886 1,737 $35K
H1003 Prenatal care, at-risk enhanced service; education 2,030 1,891 $29K
90715 612 569 $19K
36415 Collection of venous blood by venipuncture 8,195 7,394 $18K
59899 349 346 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 836 758 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 102 99 $8K
20551 214 115 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 94 69 $6K
57454 49 40 $6K
90686 264 261 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 143 121 $4K
90688 185 180 $3K
90837 Psychotherapy, 53 minutes with patient 50 37 $3K
76819 Fetal biophysical profile; without non-stress testing 126 83 $3K
99385 21 13 $2K
90656 114 80 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 45 44 $1K
90853 Group psychotherapy (other than of a multiple-family group) 50 15 $767.50
99283 Emergency department visit for the evaluation and management, moderate severity 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 Bmi is documented within normal parameters and no follow-up plan is required 6,287 5,313 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 3,106 2,784 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 10,883 8,585 $0.00
G8482 Influenza immunization administered or previously received 4,218 3,152 $0.00
4004F 7,252 6,131 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 32,620 27,000 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13,690 11,254 $0.00
G8484 Influenza immunization was not administered, reason not given 12,902 11,456 $0.00
0502F 335 221 $0.00
G8421 Bmi not documented and no reason is given 152 126 $0.00
2022F 17 12 $0.00