Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1679813687 · FEASTERVILLE TREVOSE, PA 19053 · Family Medicine Physician · NPI assigned 02/28/2013

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

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

$97K
Total Medicaid Paid
3,602
Total Claims
3,455
Beneficiaries
11
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date02/28/2013

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 PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $210K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 55 $1K
2021 437 $9K
2022 1,322 $28K
2023 1,197 $39K
2024 591 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,803 1,739 $57K
99215 Prolong outpt/office vis 380 368 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 829 787 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 42 42 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36 36 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 15 $674.56
90686 34 34 $229.93
3074F 174 159 $110.00
3078F 99 95 $100.00
3725F 122 116 $0.00
1036F 68 64 $0.00