Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Hanover › NPI 1104385707
Physician

Pinnacle Health Medical Services

Pinnacle Health Medical Services was paid $88K by Medicaid between Aug 2023 and Nov 2024, across 5 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 44% of everything it billed.

33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HANOVER, PA 17331
33aNPI1104385707assigned 03/14/2019
33bProvider typeHospitalist Physician
28Total paid$88K
24GClaims1,538
24DCodes billed5
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in Pennsylvania

Rank by total paid#15 of 130
Median peer was paid$4K
This provider vs. median23×

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$5.0K$10K$15K2018201920202021202220232024
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
2023299$16K
2024incomplete1,239$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99238 Hospital discharge day management, 30 minutes or less 44% 561 542 $39K
99239 Hospital discharge day management, more than 30 minutes 32% 288 280 $28K
99460 16% 370 359 $14K
99462 6.8% 304 243 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.3% 15 12 $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 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.