Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1346605466 · LANGHORNE, PA 19047 · Obstetrics & Gynecology Physician · NPI assigned 12/16/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUMMINGS, KIMBERLY controls 20+ related entities in our dataset. Read more

$1.55M
Total Medicaid Paid
23,843
Total Claims
20,540
Beneficiaries
18
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date12/16/2015

Related Entities

Other providers sharing the same authorized official: CUMMINGS, KIMBERLY

ProviderCityStateTotal Paid
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA DARBY PA $27.84M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $9.75M
ST. FRANCIS HOSPITAL INC. WILMINGTON DE $1.94M
ST MARY MEDICAL CENTER BENSALEM PA $1.44M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $1.35M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $1.15M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $776K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $676K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $664K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $413K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $403K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $346K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $343K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $343K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $319K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $302K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $210K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LEVITTOWN PA $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 292 $24K
2021 3,081 $234K
2022 7,316 $433K
2023 6,042 $457K
2024 7,112 $397K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,129 13,754 $1.27M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,753 1,422 $131K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 606 579 $53K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 783 748 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 276 269 $25K
99385 268 257 $13K
81025 790 750 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 45 38 $3K
99386 33 33 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $2K
36415 Collection of venous blood by venipuncture 886 790 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 71 68 $1K
96127 68 65 $394.34
81002 31 31 $144.28
3078F 706 587 $0.00
3074F 948 772 $0.00
1036F 407 346 $0.00
3079F 29 17 $0.00