Physician
Pinnacle Family Care PLLC
Pinnacle Family Care PLLC was paid $137K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 78% of everything it billed.
33Billing provider infoPINNACLE FAMILY CARE PLLC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1114116076assigned 10/17/2007
33bProvider typeFamily Medicine Physician
28Total paid$137K
24GClaims19,109
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#480 of 960
Median peer was paid$135K
This provider vs. median1.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 46 | $1K | |
| 2019 | 125 | $5K | |
| 2020 | 107 | $6K | |
| 2021 | 2,362 | $28K | |
| 2022 | 4,791 | $27K | |
| 2023 | 5,032 | $24K | |
| 2024incomplete | 6,646 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 78% | 18,213 | 11,627 | $107K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 343 | 277 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 273 | 225 | $10K |
| 90756 | <1% | 21 | 12 | $221.40 | |
| 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) | <1% | 47 | 35 | $84.84 |
| 3078F | <1% | 43 | 39 | $0.01 | |
| 3074F | <1% | 62 | 54 | $0.01 | |
| 3008F | 0% | 107 | 86 | $0.00 |
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 officialRAY, JOHN (CEO OWNER)
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|---|---|---|
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| Fort Collins Spine LLC | Fort Collins, CO | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.