Clinic
Pinnacle Gastroenterology LLC
Pinnacle Gastroenterology LLC was paid $43K by Medicaid between Sep 2023 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoPINNACLE GASTROENTEROLOGY LLC
ALAMOGORDO, NM 88310
ALAMOGORDO, NM 88310
33aNPI1033824230assigned 01/23/2023
33bProvider typeMedical Specialty Clinic/Center
28Total paid$43K
24GClaims444
24DCodes billed5
24AFirst – last monthSep 2023 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in New Mexico
Rank by total paid#9 of 13
Median peer was paid$159K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 109 | $9K | |
| 2024incomplete | 335 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 235 | 195 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 126 | 112 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 42 | 39 | $5K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 25 | 25 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 16 | 13 | $1K |
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 officialRAWLINGS, RUTH (MEDICAL DIRECTOR)