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 $302K by Medicaid between Nov 2020 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
LANGHORNE, PA 19047
33aNPI1326363938assigned 04/07/2010
33bProvider typeUrology Physician
28Total paid$302K
24GClaims6,396
24DCodes billed10
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Pennsylvania

Rank by total paid#12 of 134
Median peer was paid$3K
This provider vs. median96×

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
202014$760.54
2021430$9K
20221,769$79K
20231,840$76K
2024incomplete2,343$138K
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 28% 1,308 1,241 $84K
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 25% 549 525 $75K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 933 889 $45K
51798 13% 2,552 2,416 $39K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.6% 559 290 $23K
99223 Prolong inpt eval add15 m 4.6% 124 117 $14K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.5% 153 147 $14K
99222 Initial hospital care, per day, moderate complexity 2.8% 66 65 $9K
81003 <1% 104 102 $200.01
1036F 0% 48 42 $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.