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 $676K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
DARBY, PA 19023
33aNPI1245756626assigned 08/17/2017
28Total paid$676K
24GClaims10,183
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Medical Oncology Physician providers in Pennsylvania

Rank by total paid#2 of 25
Median peer was paid$8K
This provider vs. median88×

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$20K$30K2018201920202021202220232024
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
2018732$10K
2020411$27K
20211,783$112K
20222,392$169K
20232,448$187K
2024incomplete2,417$172K
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 53% 5,845 4,892 $359K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 16% 1,236 1,015 $108K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 13% 957 335 $91K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,829 1,687 $79K
99223 Prolong inpt eval add15 m 4.1% 184 177 $28K
77427 <1% 24 12 $5K
99205 Prolong outpt/office vis <1% 26 25 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 47 25 $2K
3074F 0% 19 15 $0.00
3078F 0% 16 13 $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.