Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1871808006 · LEVITTOWN, PA 19056 · Family Medicine Physician · NPI assigned 08/12/2010

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

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

$199K
Total Medicaid Paid
8,380
Total Claims
8,123
Beneficiaries
15
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date08/12/2010

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 91 $2K
2021 1,460 $23K
2022 2,462 $50K
2023 2,470 $69K
2024 1,897 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,345 5,165 $115K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,194 2,125 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 114 110 $8K
90686 245 245 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 62 62 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 36 $700.64
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $277.29
90656 17 17 $225.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36 36 $167.10
3074F 92 90 $90.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $76.41
3079F 12 12 $30.00
3078F 23 23 $20.00
3725F 107 107 $0.00
1036F 71 69 $0.00