Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1073974622 · ANNVILLE, PA 17003 · Pediatrics Physician · NPI assigned 03/10/2016

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

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

$288K
Total Medicaid Paid
8,079
Total Claims
7,678
Beneficiaries
25
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date03/10/2016

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 HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
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 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
2022 502 $13K
2023 4,095 $145K
2024 3,482 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,586 2,442 $144K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,948 2,751 $113K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 179 175 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 125 123 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28 27 $3K
92551 431 426 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $860.68
99173 239 238 $678.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 308 280 $326.36
90460 Immunization administration through 18 years of age via any route, first or only component 14 12 $267.11
96127 24 24 $57.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 14 $50.97
96160 51 51 $37.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 26 $24.75
90619 46 45 $0.00
90674 395 386 $0.00
90698 116 114 $0.00
90677 58 57 $0.00
90680 13 13 $0.00
83655 146 145 $0.00
90661 174 173 $0.00
90670 72 71 $0.00
90682 14 14 $0.00
90633 44 44 $0.00
90715 15 15 $0.00