Medicaid Provider Spending

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

NPI: 1083207583 · ENOLA, PA 17025 · Internal Medicine Physician · NPI assigned 02/16/2021

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

Authorized official GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more

$3K
Total Medicaid Paid
219
Total Claims
212
Beneficiaries
4
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (PRESIDENT)
NPI Enumeration Date02/16/2021

Related Entities

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

ProviderCityStateTotal Paid
UPMC HILLMAN CANCER CENTER-PINNACLE CAMP HILL PA $246K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $156K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $38K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $38K
PINNACLE HEALTH REGIONAL PHYSICIANS LANCASTER PA $20K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $12K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $10K
UPMC PINNACLE HOSPITALS HARRISBURG PA $8K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $7K
UPMC PINNACLE HOSPITALS HARRISBURG PA $2K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $2K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $2K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $1K
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $1K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $510.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 144 $3K
2024 75 $447.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52 50 $1K
11721 79 76 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $703.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 74 72 $0.00