Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1144853599 · HARRISBURG, PA 17111 · Nurse Practitioner · NPI assigned 02/13/2020

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

Authorized official GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more

$38K
Total Medicaid Paid
769
Total Claims
724
Beneficiaries
4
Codes Billed
2023-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (SENIOR VP)
NPI Enumeration Date02/13/2020

Related Entities

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

ProviderCityStateTotal Paid
UPMC HILLMAN CANCER CENTER-PINNACLE CAMP HILL PA $246K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $156K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $38K
PINNACLE HEALTH REGIONAL PHYSICIANS LANCASTER PA $20K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $12K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $10K
UPMC PINNACLE HOSPITALS HARRISBURG PA $8K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $7K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $3K
UPMC PINNACLE HOSPITALS HARRISBURG PA $2K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $2K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $2K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $1K
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $1K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $510.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 361 $17K
2024 408 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 639 600 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 88 85 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 26 $2K
36415 Collection of venous blood by venipuncture 13 13 $0.00