Medicaid Provider Spending

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

UPMC PINNACLE HOSPITALS

NPI: 1164526588 · HARRISBURG, PA 17109 · Ambulatory Surgical Clinic/Center · NPI assigned 09/08/2006

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

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

$2K
Total Medicaid Paid
13,502
Total Claims
10,265
Beneficiaries
18
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (PRESIDENT AND CEO)
NPI Enumeration Date09/08/2006

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 MEDICAL SERVICES HARRISBURG 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
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
2020 418 $1K
2021 3,015 $1K
2022 1,862 $0.00
2023 3,868 $0.00
2024 4,339 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14 14 $1K
J0690 Injection, cefazolin sodium, 500 mg 1,174 815 $607.52
J2704 Injection, propofol, 10 mg 2,290 1,878 $344.96
J3010 Injection, fentanyl citrate, 0.1 mg 1,967 1,302 $111.95
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,932 1,342 $72.76
J3490 Unclassified drugs 1,873 1,361 $62.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,382 1,145 $57.03
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 13 $44.86
J2250 Injection, midazolam hydrochloride, per 1 mg 1,218 1,076 $25.71
85027 31 26 $22.14
J1644 Injection, heparin sodium, per 1000 units 269 233 $4.47
J1170 Injection, hydromorphone, up to 4 mg 145 109 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 388 256 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 144 133 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 290 262 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 282 219 $0.00
J1171 Injection, hydromorphone, 0.1 mg 18 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 71 69 $0.00