Medicaid Provider Spending

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

PINNACLE MEDICAL CLINIC INC

NPI: 1043493851 · SUMMIT, MS 39666 · Rural Health Clinic/Center · NPI assigned 12/14/2007

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

Authorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more

$809K
Total Medicaid Paid
19,876
Total Claims
17,096
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DAVID (CEO)
NPI Enumeration Date12/14/2007

Related Entities

Other providers sharing the same authorized official: SMITH, DAVID

ProviderCityStateTotal Paid
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC PHOENIX AZ $7.56M
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC PINOLE CA $2.31M
PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA $2.29M
UNITED IMAGING CONSULTANTS, LLC LENEXA KS $1.86M
SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED SAN MARCOS TX $1.45M
HAYWOOD COUNTY BROWNSVILLE TN $1.27M
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC CASA GRANDE AZ $898K
BAY HEMATOLOGY ONCOLOGY PA EASTON MD $817K
NORTH SHORE PEDIATRICS, PC DANVERS MA $546K
NEW MEXICO PHYSICAL THERAPISTS INC LOS LUNAS NM $520K
GREAT LAKES PEDIATRIC SURGEONS, INC. FORT WAYNE IN $458K
EL FUTURO, INC DURHAM NC $414K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $408K
DAVID J. SMITH MD PC GRAND LEDGE MI $401K
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC FAIRFIELD CA $324K
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC TUCSON AZ $307K
GATEWAY FOOT AND ANKLE CENTER, PLC CLARKSVILLE TN $271K
ADVANCED CARDIOVASCULAR CONSULTANTS INC CHARDON OH $240K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $162K
EL FUTURO, INC DURHAM NC $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,721 $73K
2019 2,181 $66K
2020 3,266 $136K
2021 4,070 $184K
2022 3,191 $131K
2023 2,953 $123K
2024 2,494 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,306 9,496 $651K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,286 2,093 $125K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 891 866 $15K
80305 2,446 2,072 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 54 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 980 854 $3K
99442 24 24 $659.68
J1885 Injection, ketorolac tromethamine, per 15 mg 463 416 $461.49
36415 Collection of venous blood by venipuncture 332 291 $384.59
95921 15 13 $270.99
95923 17 12 $187.42
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 18 14 $174.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 155 131 $167.78
93923 82 43 $94.50
J0696 Injection, ceftriaxone sodium, per 250 mg 158 130 $93.17
96127 17 16 $14.32
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 15 13 $12.52
1159F 212 194 $0.00
98960 31 30 $0.00
1125F 210 192 $0.00
1170F 156 142 $0.00