Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1598289209 · PHILADELPHIA, PA 19153 · Family Medicine Physician · NPI assigned 08/03/2017

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

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

$247K
Total Medicaid Paid
9,945
Total Claims
8,683
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date08/03/2017

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 $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 LANGHORNE PA $210K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LEVITTOWN PA $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 735 $14K
2020 439 $6K
2021 1,960 $36K
2022 2,452 $59K
2023 2,397 $66K
2024 1,962 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,968 4,686 $139K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,710 2,802 $88K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 583 555 $11K
99306 Prolong nursin fac eval 15m 142 134 $5K
0001A 33 33 $1K
0002A 21 21 $996.08
90686 91 91 $843.04
90674 79 79 $832.91
99232 Subsequent hospital care, per day, moderate complexity 20 12 $318.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 55 $283.68
3078F 15 14 $10.00
3725F 70 65 $0.00
1159F 35 28 $0.00
3288F 12 12 $0.00
90661 13 13 $0.00
1160F 47 40 $0.00
1036F 15 14 $0.00
3008F 35 29 $0.00