Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1619493996 · DARBY, PA 19023 · Gastroenterology 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

$1.15M
Total Medicaid Paid
15,217
Total Claims
12,576
Beneficiaries
17
Codes Billed
2018-01
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,787 $8K
2020 773 $35K
2021 3,708 $262K
2022 3,029 $286K
2023 2,338 $259K
2024 3,582 $301K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,316 5,009 $326K
99232 Subsequent hospital care, per day, moderate complexity 4,352 2,241 $175K
45380 Colonoscopy, flexible; with biopsy, single or multiple 739 714 $159K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,120 1,084 $151K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,013 969 $127K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 280 271 $97K
99222 Initial hospital care, per day, moderate complexity 581 559 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,151 1,096 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 319 299 $26K
99233 Prolong inpt eval add15 m 16 12 $1K
99254 15 13 $1K
3008F 65 65 $0.00
1036F 73 72 $0.00
3074F 30 25 $0.00
1159F 43 43 $0.00
1160F 44 44 $0.00
3725F 60 60 $0.00