Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1447776729 · DARBY, PA 19023 · Infectious Disease Physician · NPI assigned 08/17/2017

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

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

$343K
Total Medicaid Paid
4,976
Total Claims
3,573
Beneficiaries
8
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date08/17/2017

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
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $1.55M
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 $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
2018 170 $729.07
2020 239 $7K
2021 1,102 $51K
2022 1,211 $101K
2023 1,284 $104K
2024 970 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 3,121 1,816 $172K
99222 Initial hospital care, per day, moderate complexity 1,187 1,116 $108K
99223 Prolong inpt eval add15 m 108 106 $21K
99254 200 197 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 194 186 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 102 98 $5K
99221 21 21 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 43 33 $2K