Medicaid Provider Spending

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

PINNACLE HEALTH HOSPITALIST SERVICES LLC

NPI: 1023458148 · HARRISBURG, PA 17109 · Family Medicine Physician · NPI assigned 07/03/2013

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

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$1.40M
Total Medicaid Paid
22,651
Total Claims
11,959
Beneficiaries
8
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP, CFO)
NPI Enumeration Date07/03/2013

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $1.08M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $343K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $108K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,068 $25K
2021 8,807 $392K
2022 5,629 $412K
2023 4,021 $313K
2024 3,126 $263K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 13,582 5,950 $830K
99232 Subsequent hospital care, per day, moderate complexity 5,307 2,408 $227K
99223 Prolong inpt eval add15 m 1,932 1,861 $220K
99239 Hospital discharge day management, more than 30 minutes 1,026 998 $75K
99222 Initial hospital care, per day, moderate complexity 691 650 $50K
99238 Hospital discharge day management, 30 minutes or less 51 50 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 20 15 $575.49
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42 27 $327.99