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 $1.55M by Medicaid between Nov 2020 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
LANGHORNE, PA 19047
33aNPI1346605466assigned 12/16/2015
28Total paid$1.55M
24GClaims23,843
24DCodes billed18
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#11 of 511
Median peer was paid$14K
This provider vs. median108×

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$20K$40K$60K2018201920202021202220232024
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
2020292$24K
20213,081$234K
20227,316$433K
20236,042$457K
2024incomplete7,112$397K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82% 16,129 13,754 $1.27M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.4% 1,753 1,422 $131K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.4% 606 579 $53K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.5% 783 748 $39K
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 1.6% 276 269 $25K
99385 <1% 268 257 $13K
81025 <1% 790 750 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 45 38 $3K
99386 <1% 33 33 $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% 14 14 $2K
36415 Collection of venous blood by venipuncture <1% 886 790 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 71 68 $1K
6 more codes
96127 <1% 68 $394.34
81002 <1% 31 $144.28
3078F 0% 706 $0.00
3074F 0% 948 $0.00
1036F 0% 407 $0.00
3079F 0% 29 $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.