Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Summa Health System

General Acute Care Hospital·Akron, OH·NPI: 1396765681Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $170.7M is at the 50th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$170.7M

$170,729,549

Total Claims

3.7M

Beneficiaries

2.8M

1.3 claims/patient

Avg Cost/Claim

$46

#580 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Summa Health System is a General Acute Care Hospital provider based in Akron, OH. From the 2018–2024 period, this provider received $170.7M in Medicaid payments across 3.7M claims.

Why This Matters

This provider received $170.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,341 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 148% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$15.0M
-2%
2019
$14.7M
+5%
2020
$15.4M
+3%
2021
$15.8M
+30%
2022
$20.4M
+156%
2023
$52.3M
-29%
2024
$37.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 13% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$22.4M

259K claims · 13.1%

Your Cost: $86.81/claim|Median: $26.41
3.3× median
96361Top 10%

IV infusion, hydration, each additional hour

$17.9M

62K claims · 10.5%

Your Cost: $287.78/claim|Median: $38.92
7.4× median
99284Top 25%

Emergency dept visit, high complexity

$17.8M

130K claims · 10.4%

Your Cost: $137.33/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$17.4M

148K claims · 10.2%

Your Cost: $118.08/claim|Median: $42.48
2.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$11.7M

73K claims · 6.9%

Your Cost: $159.24/claim|Median: $85.65
1.9× median
90853Top 25%

Group psychotherapy

$5.0M

82K claims · 2.9%

Your Cost: $61.36/claim|Median: $25.02
2.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$3.8M

14K claims · 2.2%

Your Cost: $271.57/claim|Median: $65.76
4.1× median
70450Top 5%

CT head/brain without contrast

$3.4M

13K claims · 2.0%

Your Cost: $256.82/claim|Median: $45.53
5.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$3.0M

7K claims · 1.8%

Your Cost: $412.57/claim|Median: $151.68
2.7× median
G0378Normal range

Hospital observation service, per hour

$2.9M

36K claims · 1.7%

Your Cost: $81.67/claim|Median: $99.39
0.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$2.7M

37K claims · 1.6%

Your Cost: $72.18/claim|Median: $24.49
3.0× median
96365Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.5M

14K claims · 1.5%

Your Cost: $171.36/claim|Median: $54.77
3.1× median
J9271Top 25%

Injection, pembrolizumab, 1 mg

$2.2M

228 claims · 1.3%

Your Cost: $9,803.04/claim|Median: $5,391.55
1.8× median
96360Top 10%

IV infusion, hydration, initial, 31 minutes to 1 hour

$1.9M

10K claims · 1.1%

Your Cost: $188.65/claim|Median: $61.57
3.1× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.9M

7K claims · 1.1%

Your Cost: $275.76/claim|Median: $60.19
4.6× median
U0004Top 5%

COVID-19 test, nucleic acid detection, CDC lab only

$1.4M

10K claims · 0.8%

Your Cost: $132.59/claim|Median: $60.05
2.2× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$1.3M

6K claims · 0.8%

Your Cost: $208.36/claim|Median: $40.12
5.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$1.3M

7K claims · 0.8%

Your Cost: $206.18/claim|Median: $99.21
2.1× median
80053Normal range

Comprehensive metabolic panel

$1.2M

131K claims · 0.7%

Your Cost: $8.95/claim|Median: $7.24
1.2× median
45380Top 25%

Colonoscopy with biopsy

$1.1M

3K claims · 0.6%

Your Cost: $365.33/claim|Median: $200.68
1.8× median
99282Top 25%

Emergency dept visit, low complexity

$1.0M

11K claims · 0.6%

Your Cost: $97.42/claim|Median: $37.72
2.6× median
47562Normal range

$989K

462 claims · 0.6%

Your Cost: $2,140.58/claim|Median: $731.87
2.9× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$930K

2K claims · 0.5%

Your Cost: $515.08/claim|Median: $255.17
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$927K

45K claims · 0.5%

Your Cost: $20.62/claim|Median: $35.43
0.6× median
71275Top 10%

CT angiography, chest, with contrast

$865K

3K claims · 0.5%

Your Cost: $278.60/claim|Median: $92.96
3.0× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$853K

8K claims · 0.5%

Your Cost: $113.33/claim|Median: $10.88
10.4× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$786K

1K claims · 0.5%

Your Cost: $645.42/claim|Median: $233.73
2.8× median
97530Normal range

Therapeutic activities, each 15 min

$711K

16K claims · 0.4%

Your Cost: $45.65/claim|Median: $33.11
1.4× median
99281Top 25%

Emergency dept visit, minimal complexity

$699K

6K claims · 0.4%

Your Cost: $116.65/claim|Median: $52.03
2.2× median
58571Normal range

$698K

330 claims · 0.4%

Your Cost: $2,116.17/claim|Median: $1,679.33
1.3× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Ohio →How we detect fraud →