Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1639695927 · DARBY, PA 19023 · Obstetrics & Gynecology 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

$413K
Total Medicaid Paid
9,355
Total Claims
9,036
Beneficiaries
21
Codes Billed
2020-11
First Month
2024-12
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 $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
2020 216 $8K
2021 1,181 $57K
2022 2,721 $116K
2023 2,566 $115K
2024 2,671 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,053 2,930 $181K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,225 1,185 $105K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 846 839 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 317 306 $29K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 401 399 $18K
81025 1,792 1,723 $12K
99386 143 139 $7K
87210 715 690 $6K
99385 118 118 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 128 123 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 193 187 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $914.20
81003 146 141 $650.68
1160F 13 12 $0.00
3078F 25 25 $0.00
1159F 13 12 $0.00
3725F 18 17 $0.00
3008F 55 50 $0.00
1036F 37 33 $0.00
3074F 67 60 $0.00
1126F 35 32 $0.00