Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1902165780 · LANGHORNE, PA 19047 · Cardiovascular Disease Physician · NPI assigned 05/14/2012

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

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

$776K
Total Medicaid Paid
28,973
Total Claims
25,608
Beneficiaries
23
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date05/14/2012

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131 $335.75
2020 103 $3K
2021 750 $21K
2022 1,307 $34K
2023 1,771 $42K
2024 24,911 $675K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,015 2,859 $175K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,261 2,204 $158K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15,963 13,836 $146K
93000 4,639 4,448 $88K
99233 Prolong inpt eval add15 m 1,001 477 $83K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 210 199 $25K
99232 Subsequent hospital care, per day, moderate complexity 436 253 $22K
99223 Prolong inpt eval add15 m 120 112 $18K
99222 Initial hospital care, per day, moderate complexity 212 204 $18K
99215 Prolong outpt/office vis 174 167 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 237 217 $11K
99205 Prolong outpt/office vis 24 21 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 94 51 $3K
93298 39 38 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 51 51 $3K
93016 113 107 $2K
93018 113 107 $2K
99152 74 70 $988.54
93325 112 106 $565.56
93308 14 14 $205.29
93321 12 12 $93.10
3074F 12 12 $0.00
3078F 47 43 $0.00