Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pinnacle Health Medical Services

Pinnacle Health Medical Services was paid $14K by Medicaid between Nov 2023 and Sep 2024, across 3 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 72% of everything it billed.

33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
YORK, PA 17408
33aNPI1053935726assigned 05/29/2020
33bProvider typePediatrics Physician
28Total paid$14K
24GClaims195
24DCodes billed3
24AFirst – last monthNov 2023 – Sep 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#830 of 1,257
Median peer was paid$45K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
202341$3K
2024incomplete154$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99479 Subsequent intensive care, per day, very low birth weight infant 72% 137 38 $10K
99480 Subsequent intensive care, per day, low birth weight infant 15% 29 15 $2K
99238 Hospital discharge day management, 30 minutes or less 13% 29 29 $2K

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 officialMARKLEY, CHRISTOPHER (SENIOR VP)
Same official

Other billing entities under MARKLEY, CHRISTOPHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.