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 $126K by Medicaid between Apr 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
SECANE, PA 19018
33aNPI1285158105assigned 08/02/2017
28Total paid$126K
24GClaims7,578
24DCodes billed20
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#538 of 2,756
Median peer was paid$19K
This provider vs. median6.6×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201855$363.39
201913$347.45
2020366$5K
20211,449$19K
20222,111$33K
20232,082$41K
2024incomplete1,502$28K
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 77% 4,510 4,308 $97K
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% 1,874 1,789 $20K
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 1.9% 88 85 $2K
90677 1.8% 12 12 $2K
90686 <1% 127 127 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 51 48 $824.19
90674 <1% 37 37 $777.00
3078F <1% 204 194 $510.00
3074F <1% 212 200 $470.00
90694 <1% 12 12 $358.40
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 14 14 $355.92
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 157 155 $283.20
8 more codes
3079F <1% 48 $130.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 $29.76
3044F <1% 12 $20.00
3008F 0% 46 $0.00
1036F 0% 67 $0.00
1160F 0% 39 $0.00
3725F 0% 15 $0.00
1159F 0% 39 $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 (VP, FINANCE AND CFO)
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.