Physician
Pinnacle Surgical Associates
Pinnacle Surgical Associates was paid $57K by Medicaid between Aug 2019 and Oct 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 45% of everything it billed.
33Billing provider infoPINNACLE SURGICAL ASSOCIATES
MERCED, CA 95348
MERCED, CA 95348
33aNPI1164901302assigned 08/08/2018
33bProvider typeSurgery Physician
28Total paid$57K
24GClaims593
24DCodes billed4
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers
Next to other Surgery Physician providers in California
Rank by total paid#161 of 437
Median peer was paid$23K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 16 | $990.02 | |
| 2020 | 40 | $3K | |
| 2021 | 111 | $9K | |
| 2022 | 133 | $11K | |
| 2023 | 193 | $20K | |
| 2024incomplete | 100 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 45% | 208 | 208 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 154 | 153 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 142 | 140 | $10K |
| 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 | 15% | 89 | 86 | $8K |
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 officialFRENCH, ANDREA (OWNER)