Trinity Health Mid-Atlantic Medical Group

Trinity Health Mid-Atlantic Medical Group was paid $9.75M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
DARBY, PA 19023

33aNPI1588694111assigned 07/03/2006

33bProvider typePhysician Assistant

28Total paid$9.75M

24GClaims124,088

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Physician Assistant providers in Pennsylvania

Rank by total paid#2 of 511

Median peer was paid$7K

This provider vs. median1,458×

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

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	1,633	$18K
2019	120	$6K
2020	14,123	$885K
2021	50,002	$3.00M
2022	14,861	$1.05M
2023	16,838	$1.68M
2024incomplete	26,511	$3.12M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	43%	45,474	43,157	$4.24M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	31%	30,497	28,634	$3.07M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	23%	34,748	33,198	$2.29M
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.3%	2,733	2,633	$127K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	105	100	$20K
99441		<1%	206	194	$8K
99443		<1%	78	77	$3K
93042		<1%	546	490	$3K
99220		<1%	13	13	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	17	12	$1K
99053		<1%	9,377	8,242	$79.50
G9744	Patient not eligible due to active diagnosis of hypertension	0%	294	290	$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)

Parent organizationTRINITY HEALTH MIDATLANTIC

Same official

Other billing entities under CUMMINGS, KIMBERLY

Full network →

Provider	Location	Paid
Mercy Catholic Medical Center of Southeastern PA	Darby, PA	$27.84M
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	$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

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