Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Trinity Health Mid-Atlantic Medical Group

Trinity Health Mid-Atlantic Medical Group was paid $319K by Medicaid between Feb 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
DARBY, PA 19023
33aNPI1083138770assigned 08/03/2017
28Total paid$319K
24GClaims13,779
24DCodes billed25
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#230 of 2,756
Median peer was paid$19K
This provider vs. median17×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CUMMINGS, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018222$1K
2020539$11K
20213,694$100K
20223,823$76K
20233,352$81K
2024incomplete2,149$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 66% 7,873 7,619 $212K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 2,462 2,383 $50K
0012A 5.6% 398 391 $18K
0011A 5.4% 436 422 $17K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 281 273 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 325 317 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 52 51 $3K
3078F <1% 350 337 $2K
90686 <1% 200 200 $2K
3074F <1% 333 314 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 51 51 $1K
90674 <1% 69 69 $1K
13 more codes
90656 <1% 48 $637.35
3079F <1% 65 $320.00
3077F <1% 33 $210.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 67 $209.28
36415 Collection of venous blood by venipuncture <1% 38 $125.00
99385 <1% 12 $106.70
3008F 0% 127 $0.00
1036F 0% 148 $0.00
1126F 0% 35 $0.00
1159F 0% 112 $0.00
3725F 0% 137 $0.00
1160F 0% 112 $0.00
3288F 0% 15 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCUMMINGS, KIMBERLY (REGIONAL VP)
Same official

Other billing entities under CUMMINGS, KIMBERLY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.