Medicaid Provider Spending

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

MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

NPI: 1932180205 · DARBY, PA 19023 · Internal Medicine Physician · NPI assigned 11/14/2005

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

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

$96K
Total Medicaid Paid
4,206
Total Claims
4,053
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date11/14/2005

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 86 $522.68
2021 1,064 $20K
2022 1,098 $26K
2023 1,029 $23K
2024 929 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,164 2,091 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,550 1,488 $29K
0012A 43 43 $2K
0011A 44 44 $2K
3078F 197 187 $890.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 98 91 $515.46
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $477.40
90686 46 46 $233.24
3077F 26 26 $170.00
3074F 26 25 $130.00