Medicaid Provider Spending

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

NPI: 1083622286 · BENSALEM, PA 19020 · Obstetrics & Gynecology Physician · NPI assigned 08/03/2006

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

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

$1.44M
Total Medicaid Paid
59,954
Total Claims
56,142
Beneficiaries
56
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
Parent OrganizationST. MARY MEDICAL CENTER
NPI Enumeration Date08/03/2006

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $723.52
2019 155 $6K
2020 1,760 $36K
2021 10,245 $259K
2022 18,716 $444K
2023 14,235 $365K
2024 14,829 $332K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 11,981 10,989 $406K
99214 4,956 4,147 $279K
99391 4,427 4,289 $230K
99392 3,949 3,828 $186K
99393 2,610 2,513 $126K
99394 1,192 1,168 $62K
90472 3,156 2,981 $34K
90471 6,814 6,387 $31K
0071A 290 281 $12K
99212 734 720 $12K
90686 2,928 2,864 $9K
0072A 212 212 $9K
92551 1,444 1,382 $7K
99173 2,384 2,283 $5K
90670 1,577 1,530 $5K
90680 1,120 1,088 $3K
90677 309 308 $2K
90697 1,205 1,191 $2K
96161 1,128 1,096 $2K
90473 372 361 $2K
90633 703 685 $2K
90698 208 165 $1K
0002A 35 35 $1K
90688 259 259 $1K
90707 584 561 $1K
90716 568 545 $1K
90656 201 201 $1K
0081A 27 27 $1K
90744 115 112 $1K
90672 212 211 $972.00
90474 185 173 $895.62
99188 42 42 $893.12
0001A 19 18 $814.00
90687 140 140 $484.37
87880 68 67 $365.68
90715 272 271 $308.94
90660 17 17 $274.60
90648 156 155 $238.00
90700 174 173 $231.00
90685 399 186 $187.00
90651 298 297 $138.00
83655 14 14 $132.32
96127 28 25 $127.04
36415 87 78 $87.50
90621 119 119 $84.00
90619 213 213 $80.00
90734 15 15 $77.00
3725F 79 76 $60.00
85018 46 46 $32.01
94760 38 35 $15.84
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $8.75
3008F 1,055 870 $0.00
1036F 197 163 $0.00
3074F 249 204 $0.00
90696 156 156 $0.00
3078F 176 158 $0.00