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 $343K by Medicaid between May 2018 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 50% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
DARBY, PA 19023
33aNPI1447776729assigned 08/17/2017
28Total paid$343K
24GClaims4,976
24DCodes billed8
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Infectious Disease Physician providers in Pennsylvania

Rank by total paid#8 of 87
Median peer was paid$26K
This provider vs. median13×

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$5.0K$10K$15K2018201920202021202220232024
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
2018170$729.07
2020239$7K
20211,102$51K
20221,211$101K
20231,284$104K
2024incomplete970$79K
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 50% 3,121 1,816 $172K
99222 Initial hospital care, per day, moderate complexity 32% 1,187 1,116 $108K
99223 Prolong inpt eval add15 m 6.1% 108 106 $21K
99254 5.3% 200 197 $18K
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 4.0% 194 186 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 102 98 $5K
99221 <1% 21 21 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 43 33 $2K

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

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.