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 $413K by Medicaid between Nov 2020 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
DARBY, PA 19023
33aNPI1639695927assigned 08/17/2017
28Total paid$413K
24GClaims9,355
24DCodes billed21
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#34 of 511
Median peer was paid$14K
This provider vs. median29×

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$10K$20K2018201920202021202220232024
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
2020216$8K
20211,181$57K
20222,721$116K
20232,566$115K
2024incomplete2,671$117K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 3,053 2,930 $181K
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 25% 1,225 1,185 $105K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 9.2% 846 839 $38K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.1% 317 306 $29K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.4% 401 399 $18K
81025 2.8% 1,792 1,723 $12K
99386 1.7% 143 139 $7K
87210 1.4% 715 690 $6K
99385 1.4% 118 118 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 128 123 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 193 187 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 15 15 $914.20
9 more codes
81003 <1% 146 $650.68
1160F 0% 13 $0.00
3078F 0% 25 $0.00
1159F 0% 13 $0.00
3725F 0% 18 $0.00
3008F 0% 55 $0.00
1036F 0% 37 $0.00
3074F 0% 67 $0.00
1126F 0% 35 $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)
Same official

Other billing entities under CUMMINGS, KIMBERLY

Full network →

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