Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1083138770 · DARBY, PA 19023 · Family Medicine Physician · NPI assigned 08/03/2017

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

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

$319K
Total Medicaid Paid
13,779
Total Claims
13,347
Beneficiaries
25
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (REGIONAL VP)
NPI Enumeration Date08/03/2017

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 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
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LEVITTOWN PA $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 222 $1K
2020 539 $11K
2021 3,694 $100K
2022 3,823 $76K
2023 3,352 $81K
2024 2,149 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,873 7,619 $212K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,462 2,383 $50K
0012A 398 391 $18K
0011A 436 422 $17K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 281 273 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 325 317 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 52 51 $3K
3078F 350 337 $2K
90686 200 200 $2K
3074F 333 314 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 51 51 $1K
90674 69 69 $1K
90656 48 48 $637.35
3079F 65 64 $320.00
3077F 33 33 $210.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 67 66 $209.28
36415 Collection of venous blood by venipuncture 38 37 $125.00
99385 12 12 $106.70
3008F 127 122 $0.00
1036F 148 144 $0.00
1126F 35 32 $0.00
1159F 112 107 $0.00
3725F 137 134 $0.00
1160F 112 107 $0.00
3288F 15 14 $0.00