Pinnacle Perinatal Care, LLC

Pinnacle Perinatal Care, LLC was paid $301K by Medicaid between Jan 2018 and Nov 2020, across 7 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 32% of everything it billed.

33Billing provider infoPINNACLE PERINATAL CARE, LLC
SCOTTSDALE, AZ 85260

33aNPI1144662420assigned 07/26/2013

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$301K

24GClaims3,337

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Arizona

Rank by total paid#7 of 15

Median peer was paid$273K

This provider vs. median1.1×

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	1,109	$98K
2019	1,024	$91K
2020	1,204	$112K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	32%	1,132	1,026	$97K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	27%	806	783	$83K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	25%	546	538	$75K
76819	Fetal biophysical profile; without non-stress testing	8.7%	388	299	$26K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.0%	315	257	$15K
76820		1.4%	136	106	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	14	14	$729.92

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 officialGIANNINA, GREGG (OWNER)