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 $79K by Medicaid between Jan 2021 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 36% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
LANGHORNE, PA 19047
33aNPI1316577059assigned 01/22/2020
28Total paid$79K
24GClaims2,093
24DCodes billed10
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Clinical Cardiac Electrophysiology Physician providers in Pennsylvania

Rank by total paid#14 of 71
Median peer was paid$5K
This provider vs. median16×

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
202179$2K
2022386$13K
2023769$30K
2024incomplete859$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 36% 697 352 $28K
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 16% 218 212 $13K
93296 16% 642 626 $13K
99223 Prolong inpt eval add15 m 8.9% 69 68 $7K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.5% 89 43 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.5% 57 55 $4K
93295 4.4% 80 79 $4K
93294 3.7% 161 156 $3K
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 1.8% 15 13 $1K
93000 1.3% 65 60 $1K

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.