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 $664K by Medicaid between Sep 2020 and Dec 2024, across 11 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 34% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
LANGHORNE, PA 19047
33aNPI1306233895assigned 04/22/2015
28Total paid$664K
24GClaims14,125
24DCodes billed11
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Pennsylvania

Rank by total paid#14 of 60
Median peer was paid$37K
This provider vs. median18×

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
2020487$19K
20213,542$169K
20224,024$187K
20233,193$156K
2024incomplete2,879$133K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 34% 4,401 4,130 $226K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 20% 3,285 2,700 $130K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12% 561 552 $79K
59025 Fetal non-stress test 11% 3,286 2,049 $71K
76801 7.4% 701 690 $49K
76813 7.3% 733 717 $49K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6.5% 882 855 $43K
76818 1.5% 123 87 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 113 99 $6K
76820 <1% 27 14 $807.18
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 13 $699.16

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.