Physician
Pinnacle Women's Health Group INC.
Pinnacle Women's Health Group INC. was paid $1.45M by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 81% of everything it billed.
33Billing provider infoPINNACLE WOMEN'S HEALTH GROUP INC.
BAKERSFIELD, CA 93306
BAKERSFIELD, CA 93306
33aNPI1164881314assigned 02/16/2016
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.45M
24GClaims2,413
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#93 of 791
Median peer was paid$67K
This provider vs. median22×
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 | 460 | $274K | |
| 2019 | 410 | $248K | |
| 2020 | 533 | $325K | |
| 2021 | 477 | $283K | |
| 2022 | 465 | $275K | |
| 2023 | 68 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 81% | 1,926 | 1,911 | $1.18M |
| 59514 | 19% | 470 | 457 | $272K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 17 | 15 | $822.42 |
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 officialLOPEZ, JUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Juan Lopez Velaquez | Penuelas, PR | $311K |
| Centro Quiropractico DR Juan M Lopez Dc-Psc | Juncos, PR | $40K |
| Santa Maria Independent School District | Santa Maria, TX | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.