UPMC Pinnacle Hospitals
UPMC Pinnacle Hospitals was paid $2K by Medicaid between Sep 2020 and Nov 2024, across 18 billing codes. Its largest line is 99283, emergency room visit (moderate) — 43% of everything it billed.
HARRISBURG, PA 17109
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 418 | $1K | |
| 2021 | 3,015 | $1K | |
| 2022 | 1,862 | $0.00 | |
| 2023 | 3,868 | $0.00 | |
| 2024incomplete | 4,339 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 43% | 14 | 14 | $1K |
| J0690 | Injection, cefazolin sodium, 500 mg | 26% | 1,174 | 815 | $607.52 |
| J2704 | Injection, propofol, 10 mg | 14% | 2,290 | 1,878 | $344.96 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 4.7% | 1,967 | 1,302 | $111.95 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 3.1% | 1,932 | 1,342 | $72.76 |
| J3490 | Unclassified drugs | 2.6% | 1,873 | 1,361 | $62.55 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2.4% | 1,382 | 1,145 | $57.03 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 14 | 13 | $44.86 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 1.1% | 1,218 | 1,076 | $25.71 |
| 85027 | <1% | 31 | 26 | $22.14 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 269 | 233 | $4.47 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 145 | 109 | $0.00 |
6 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 388 | $0.00 |
| J0688 | Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg | 0% | 144 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 290 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 282 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 18 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 71 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.