Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pinnacle Health Medical Services

Pinnacle Health Medical Services was paid $150K by Medicaid between Mar 2021 and Nov 2024, across 11 billing codes. Its largest line is 97112, Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination — 62% of everything it billed.

33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HARRISBURG, PA 17109
33aNPI1134754443assigned 03/06/2020
28Total paid$150K
24GClaims8,024
24DCodes billed11
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers

Next to other Neurological Surgery Physician providers in Pennsylvania

Rank by total paid#2 of 39
Median peer was paid$6K
This provider vs. median24×

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
20211,789$40K
20222,474$43K
20231,917$34K
2024incomplete1,844$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 62% 3,567 1,385 $93K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22% 3,264 1,352 $34K
20610 5.1% 394 264 $8K
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 4.4% 148 144 $7K
97014 2.1% 179 78 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 79 76 $3K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 101 69 $958.16
97162 <1% 13 13 $833.28
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 15 15 $823.07
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 27 15 $508.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 237 229 $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 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.