Clinic
Pinnacle Regional Hospital,llc
Pinnacle Regional Hospital,llc was paid $360K by Medicaid between Jan 2018 and Jan 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoPINNACLE REGIONAL HOSPITAL,LLC
BOONVILLE, MO 65233
BOONVILLE, MO 65233
33aNPI1154454551assigned 03/14/2007
33bProvider typeRural Health Clinic/Center
28Total paid$360K
24GClaims3,510
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#108 of 227
Median peer was paid$306K
This provider vs. median1.2×
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 | 2,175 | $237K | |
| 2019 | 1,300 | $119K | |
| 2020 | 35 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 2,393 | 2,177 | $312K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 10% | 963 | 877 | $37K |
| 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 | 2.1% | 98 | 94 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | 15 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 25 | 25 | $1K |
| 99307 | <1% | 14 | 13 | $320.40 |
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 officialSKANES, JENNIFER (CREDENTIALING CONTACT)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Regional Hospital, LLC | Boonville, MO | $2.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.