Physician
Trinity Medical Associates PA
Trinity Medical Associates PA was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoTRINITY MEDICAL ASSOCIATES PA
WILMINGTON, DE 19803
WILMINGTON, DE 19803
33aNPI1376897090assigned 11/02/2012
33bProvider typeInternal Medicine Physician
28Total paid$1.16M
24GClaims49,363
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#9 of 59
Median peer was paid$78K
This provider vs. median15×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,238 | $8K | |
| 2019 | 4,646 | $46K | |
| 2020 | 4,900 | $176K | |
| 2021 | 9,547 | $258K | |
| 2022 | 10,399 | $275K | |
| 2023 | 11,203 | $255K | |
| 2024incomplete | 6,430 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 58% | 10,742 | 9,241 | $672K |
| 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% | 4,850 | 4,203 | $179K |
| 99490 | Ccm add 20min | 6.9% | 3,121 | 2,902 | $80K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.9% | 609 | 544 | $68K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.0% | 629 | 589 | $58K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 388 | 359 | $31K |
| 99439 | 1.9% | 919 | 849 | $22K | |
| 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 | 1.7% | 202 | 191 | $20K |
| 90682 | <1% | 209 | 188 | $8K | |
| 96127 | <1% | 1,211 | 1,123 | $5K | |
| 99489 | Ccm add 20min | <1% | 185 | 159 | $5K |
| 99487 | Ccm add 20min | <1% | 185 | 159 | $4K |
17 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 426 | $4K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 32 | $1K |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 58 | $874.60 |
| 90674 | <1% | 47 | $725.11 | |
| 90688 | <1% | 49 | $633.26 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 196 | $374.66 |
| 90686 | <1% | 20 | $17.95 | |
| 3008F | 0% | 10,439 | $0.00 | |
| 3074F | 0% | 2,055 | $0.00 | |
| 3079F | 0% | 1,350 | $0.00 | |
| 3075F | 0% | 691 | $0.00 | |
| 3080F | 0% | 73 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $0.00 |
| 3078F | 0% | 1,495 | $0.00 | |
| 3725F | 0% | 891 | $0.00 | |
| 1160F | 0% | 8,126 | $0.00 | |
| 3077F | 0% | 149 | $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 officialKRIPALU, VINOD (OWNER/PHYSICIAN)