Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILADELPHIA › TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1861917544 · PHILADELPHIA, PA 19111 · Family Medicine Physician · NPI assigned 08/03/2017

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

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

$247K
Total Medicaid Paid
9,345
Total Claims
8,785
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date08/03/2017

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 $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 LANGHORNE PA $210K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LEVITTOWN PA $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $151.86
2020 423 $11K
2021 1,690 $38K
2022 2,156 $63K
2023 2,340 $65K
2024 2,723 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,310 3,106 $100K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,592 2,479 $98K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 459 447 $21K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 355 349 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 168 166 $4K
90674 256 256 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 253 241 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 29 $1K
90686 122 119 $653.64
3074F 879 761 $510.00
3078F 443 397 $350.00
36415 Collection of venous blood by venipuncture 84 83 $232.00
3079F 261 219 $200.00
90688 28 28 $199.59
90656 63 63 $172.35
83036 Hemoglobin; glycosylated (A1C) 13 13 $22.37