Physician
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $887K by Medicaid between Dec 2020 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
LANCASTER, PA 17603
LANCASTER, PA 17603
33aNPI1134649304assigned 06/20/2017
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$887K
24GClaims18,851
24DCodes billed23
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Pennsylvania
Rank by total paid#2 of 42
Median peer was paid$17K
This provider vs. median53×
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 WILKINSON, AMY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 50 | $273.81 | |
| 2021 | 424 | $9K | |
| 2022 | 5,412 | $239K | |
| 2023 | 7,010 | $323K | |
| 2024incomplete | 5,955 | $316K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 84% | 13,275 | 10,866 | $741K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,011 | 2,669 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 114 | 114 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | 57 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 177 | 139 | $3K |
| 92551 | <1% | 347 | 345 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 301 | 261 | $3K |
| 90674 | <1% | 191 | 190 | $2K | |
| 99173 | <1% | 302 | 302 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | 14 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 37 | 37 | $1K |
| 90661 | <1% | 71 | 71 | $867.20 |
11 more codes
| 90682 | <1% | 27 | $694.65 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 47 | $615.82 |
| 96160 | <1% | 153 | $600.37 | |
| 96127 | <1% | 132 | $576.12 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 65 | $403.17 |
| 90673 | <1% | 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) | <1% | 185 | $188.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 259 | $170.03 |
| 81003 | <1% | 30 | $98.10 | |
| 80061 | Lipid panel | 0% | 26 | $0.00 |
| 90619 | 0% | 14 | $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 officialWILKINSON, AMY (PE MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.