Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1013200955 · LEVITTOWN, PA 19057 · Internal Medicine Physician · NPI assigned 05/25/2011

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

Authorized official CUMMINGS, KIMBERLY controls 20+ related entities in our dataset. Read more

$25K
Total Medicaid Paid
1,186
Total Claims
1,143
Beneficiaries
4
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date05/25/2011

Related Entities

Other providers sharing the same authorized official: CUMMINGS, KIMBERLY

ProviderCityStateTotal Paid
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA DARBY PA $27.84M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $9.75M
ST. FRANCIS HOSPITAL INC. WILMINGTON DE $1.94M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $1.55M
ST MARY MEDICAL CENTER BENSALEM PA $1.44M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $1.35M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $1.15M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $776K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $676K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $664K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $413K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $403K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $346K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $343K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $343K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $319K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $302K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $210K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $357.00
2021 26 $403.90
2022 202 $6K
2023 384 $9K
2024 561 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 455 439 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 704 677 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $326.16
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $98.38