Physician
Trinity Health Mid-Atlantic Medical Group
Trinity Health Mid-Atlantic Medical Group was paid $779K by Medicaid between Oct 2020 and Dec 2024, across 18 billing codes. Its largest line is 31575, — 31% of everything it billed.
33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
DARBY, PA 19023
DARBY, PA 19023
33aNPI1699278895assigned 03/14/2018
33bProvider typeOtolaryngology Physician
28Total paid$779K
24GClaims12,207
24DCodes billed18
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#7 of 136
Median peer was paid$13K
This provider vs. median59×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 192 | $12K | |
| 2021 | 1,916 | $109K | |
| 2022 | 2,643 | $176K | |
| 2023 | 2,751 | $191K | |
| 2024incomplete | 4,705 | $291K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31575 | 31% | 2,729 | 2,491 | $242K | |
| 31231 | 21% | 1,784 | 1,662 | $161K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 20% | 1,337 | 1,300 | $159K |
| 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 | 11% | 1,437 | 1,365 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 1,361 | 1,279 | $54K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 528 | 489 | $32K |
| 69210 | 3.4% | 2,018 | 1,889 | $27K | |
| 31579 | 1.9% | 166 | 155 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62 | 53 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 13 | $592.65 |
| 3074F | 0% | 277 | 235 | $0.00 | |
| 1126F | 0% | 43 | 41 | $0.00 |
6 more codes
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, KIMBERY (VP, FINANCE AND CFO)