Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1134649304 · LANCASTER, PA 17603 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 06/20/2017

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$887K
Total Medicaid Paid
18,851
Total Claims
15,957
Beneficiaries
23
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (PE MANAGER)
NPI Enumeration Date06/20/2017

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $775K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $557K
WELLSPAN MEDICAL GROUP YORK PA $501K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $375K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $90K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
WELLSPAN MEDICAL GROUP YORK PA $47K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 50 $273.81
2021 424 $9K
2022 5,412 $239K
2023 7,010 $323K
2024 5,955 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,275 10,866 $741K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,011 2,669 $115K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 114 114 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 57 57 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 177 139 $3K
92551 347 345 $3K
99308 Subsequent nursing facility care, per day, straightforward 301 261 $3K
90674 191 190 $2K
99173 302 302 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 37 37 $1K
90661 71 71 $867.20
90682 27 27 $694.65
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 41 $615.82
96160 153 153 $600.37
96127 132 132 $576.12
96110 Developmental screening, with scoring and documentation, per standardized instrument 65 54 $403.17
90673 16 16 $400.00
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) 185 154 $188.80
36415 Collection of venous blood by venipuncture 259 248 $170.03
81003 30 27 $98.10
80061 Lipid panel 26 26 $0.00
90619 14 14 $0.00