Medicaid Provider Spending

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI: 1972982361 · LANGHORNE, PA 19047 · Surgery Physician · NPI assigned 05/19/2015

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

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

$164K
Total Medicaid Paid
1,713
Total Claims
1,518
Beneficiaries
13
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
NPI Enumeration Date05/19/2015

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
2023 13 $2K
2024 1,700 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 576 556 $34K
43775 14 14 $25K
99205 Prolong outpt/office vis 114 104 $20K
99223 Prolong inpt eval add15 m 140 132 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 229 212 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 116 111 $17K
99232 Subsequent hospital care, per day, moderate complexity 233 137 $13K
99215 Prolong outpt/office vis 39 38 $5K
99222 Initial hospital care, per day, moderate complexity 28 25 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 105 98 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59 57 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35 22 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 25 12 $1K