Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pinnacle Maricopa, LLC

Pinnacle Maricopa, LLC was paid $234K by Medicaid between Jan 2018 and Jun 2021, across 4 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 67% of everything it billed.

33Billing provider infoPINNACLE MARICOPA, LLC
MARICOPA, AZ 85239
33aNPI1003868506assigned 05/16/2006
33bProvider typePhysical Therapist
28Total paid$234K
24GClaims6,411
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other Physical Therapist providers in Arizona

Rank by total paid#51 of 173
Median peer was paid$46K
This provider vs. median5.1×

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

$0$10K$20K2018201920202021202220232024
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
20182,090$93K
20191,525$65K
20201,968$56K
2021828$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 67% 3,183 1,044 $156K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 18% 2,072 659 $43K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 10% 875 314 $24K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4.7% 281 99 $11K

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 officialSHIELDS, NATHAN (OWNER/PARTNER)