Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1124675723 · FREDERICKSBURG, PA 17026 · Physician Assistant · NPI assigned 08/20/2019

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

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

$196K
Total Medicaid Paid
4,030
Total Claims
3,752
Beneficiaries
12
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date08/20/2019

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 ANNVILLE PA $288K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 40 $1K
2020 15 $825.50
2022 71 $3K
2023 2,035 $87K
2024 1,869 $104K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,143 2,919 $181K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 387 349 $15K
92551 61 61 $268.40
99173 39 38 $137.70
36415 Collection of venous blood by venipuncture 112 100 $69.30
96127 12 12 $4.80
96160 15 15 $4.18
90674 138 135 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15 15 $0.00
80061 Lipid panel 13 13 $0.00
90661 75 75 $0.00
G9919 Screening performed and positive and provision of recommendations 20 20 $0.00