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 $247K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
PHILADELPHIA, PA 19111
33aNPI1861917544assigned 08/03/2017
33bProvider typeFamily Medicine Physician
28Total paid$247K
24GClaims9,345
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#293 of 2,756
Median peer was paid$19K
This provider vs. median13×

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$5.0K$10K2018201920202021202220232024
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
201813$151.86
2020423$11K
20211,690$38K
20222,156$63K
20232,340$65K
2024incomplete2,723$69K
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 41% 3,310 3,106 $100K
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 40% 2,592 2,479 $98K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 8.5% 459 447 $21K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.7% 355 349 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 168 166 $4K
90674 1.4% 256 256 $3K
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 <1% 29 29 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 253 241 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 30 29 $1K
90686 <1% 122 119 $653.64
3074F <1% 879 761 $510.00
3078F <1% 443 397 $350.00
5 more codes
36415 Collection of venous blood by venipuncture <1% 84 $232.00
3079F <1% 261 $200.00
90688 <1% 28 $199.59
90656 <1% 63 $172.35
83036 Hemoglobin; glycosylated (A1C) <1% 13 $22.37

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 →
ProviderLocationPaid
Mercy Catholic Medical Center of Southeastern PADarby, PA$27.84M
Trinity Health Mid-Atlantic Medical GroupDarby, PA$9.75M
ST. Francis Hospital INC.Wilmington, DE$1.94M
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$1.55M
ST Mary Medical CenterBensalem, PA$1.44M
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$1.35M
Trinity Health Mid-Atlantic Medical GroupDarby, PA$1.15M
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$776K
Trinity Health Mid-Atlantic Medical GroupDarby, PA$676K
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$664K
Trinity Health Mid-Atlantic Medical GroupDarby, PA$413K
Trinity Health Mid-Atlantic Medical GroupDarby, PA$403K
Trinity Health Mid-Atlantic Medical GroupDarby, PA$346K
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$343K
Trinity Health Mid-Atlantic Medical GroupDarby, PA$343K
Trinity Health Mid-Atlantic Medical GroupDarby, PA$319K
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$302K
Trinity Health Mid-Atlantic Medical GroupPhiladelphia, PA$247K
Trinity Health Mid-Atlantic Medical GroupLanghorne, PA$210K
Trinity Health Mid-Atlantic Medical GroupLevittown, PA$199K

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