Pinnacle Health Hospitalist Services LLC
Pinnacle Health Hospitalist Services LLC was paid $1.40M by Medicaid between Oct 2020 and Nov 2024, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 59% of everything it billed.
HARRISBURG, PA 17109
Next to other Family Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,068 | $25K | |
| 2021 | 8,807 | $392K | |
| 2022 | 5,629 | $412K | |
| 2023 | 4,021 | $313K | |
| 2024incomplete | 3,126 | $263K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 59% | 13,582 | 5,950 | $830K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 5,307 | 2,408 | $227K |
| 99223 | Prolong inpt eval add15 m | 16% | 1,932 | 1,861 | $220K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.3% | 1,026 | 998 | $75K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 691 | 650 | $50K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 51 | 50 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 20 | 15 | $575.49 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 42 | 27 | $327.99 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.