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 $164K by Medicaid between Oct 2023 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoTRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
LANGHORNE, PA 19047
33aNPI1972982361assigned 05/19/2015
33bProvider typeSurgery Physician
28Total paid$164K
24GClaims1,713
24DCodes billed13
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers

Next to other Surgery Physician providers in Pennsylvania

Rank by total paid#17 of 190
Median peer was paid$3K
This provider vs. median49×

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$20K$40K$60K2018201920202021202220232024
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
202313$2K
2024incomplete1,700$162K
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 21% 576 556 $34K
43775 15% 14 14 $25K
99205 Prolong outpt/office vis 12% 114 104 $20K
99223 Prolong inpt eval add15 m 12% 140 132 $20K
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 11% 229 212 $18K
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 10% 116 111 $17K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.9% 233 137 $13K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.0% 39 38 $5K
99222 Initial hospital care, per day, moderate complexity 2.0% 28 25 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.9% 105 98 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 59 57 $2K
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% 35 22 $2K
1 more codes
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 25 $1K

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

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