Clinic
Pinnacle Family Health INC
Pinnacle Family Health INC was paid $2.36M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoPINNACLE FAMILY HEALTH INC
WEST MONROE, LA 71291
WEST MONROE, LA 71291
33aNPI1003207085assigned 02/11/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.36M
24GClaims58,909
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
Rank by total paid#67 of 272
Median peer was paid$574K
This provider vs. median4.1×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 794 | $24K | |
| 2019 | 1,150 | $31K | |
| 2020 | 5,810 | $145K | |
| 2021 | 10,811 | $421K | |
| 2022 | 15,098 | $490K | |
| 2023 | 15,127 | $635K | |
| 2024incomplete | 10,119 | $611K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 89% | 20,416 | 14,363 | $2.10M |
| H2020 | Therapeutic behavioral services, per diem | 8.4% | 2,772 | 1,112 | $198K |
| 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 | 2.0% | 5,062 | 4,085 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 8,463 | 6,803 | $8K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 131 | 105 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,460 | 1,231 | $2K |
| 90674 | <1% | 87 | 82 | $1K | |
| 0002A | <1% | 93 | 49 | $310.40 | |
| 0011A | <1% | 185 | 86 | $99.16 | |
| 0012A | <1% | 331 | 138 | $62.08 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,924 | 2,751 | $44.36 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 425 | 298 | $23.35 |
61 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 436 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 1,135 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 418 | $0.00 |
| 86361 | 0% | 814 | $0.00 | |
| 86592 | 0% | 346 | $0.00 | |
| 90686 | 0% | 752 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 1,998 | $0.00 |
| 87522 | Neg quan hep c or qual rna | 0% | 44 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,016 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 539 | $0.00 |
| 87536 | 0% | 933 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 153 | $0.00 |
| 87511 | 0% | 92 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 186 | $0.00 |
| 91301 | 0% | 621 | $0.00 | |
| 86780 | 0% | 35 | $0.00 | |
| 86706 | 0% | 30 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 260 | $0.00 |
| 87529 | 0% | 50 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 86 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 74 | $0.00 |
| 90656 | 0% | 65 | $0.00 | |
| 84703 | 0% | 16 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 72 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 14 | $0.00 |
| 86803 | 0% | 74 | $0.00 | |
| 86704 | 0% | 13 | $0.00 | |
| 3017F | 0% | 13 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 136 | $0.00 |
| 1036F | 0% | 30 | $0.00 | |
| 0001A | 0% | 19 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 17 | $0.00 |
| 87340 | 0% | 13 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 43 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 13 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 46 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 15 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 714 | $0.00 |
| 80074 | 0% | 156 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 420 | $0.00 |
| 81003 | 0% | 804 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 545 | $0.00 |
| 80061 | Lipid panel | 0% | 259 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 44 | $0.00 |
| 99201 | 0% | 46 | $0.00 | |
| 91300 | 0% | 95 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 1,014 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 57 | $0.00 |
| 87481 | 0% | 92 | $0.00 | |
| 86480 | 0% | 142 | $0.00 | |
| 90611 | 0% | 92 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 45 | $0.00 |
| 84403 | 0% | 31 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 84 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 85 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 56 | $0.00 |
| 81025 | 0% | 29 | $0.00 | |
| 86708 | 0% | 23 | $0.00 | |
| 99497 | 0% | 84 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 13 | $0.00 |
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 officialHEAD, NANCY (CFO)