Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1184124430 · YORK, PA 17402 · Advanced Practice Midwife · NPI assigned 02/13/2018

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$375K
Total Medicaid Paid
7,298
Total Claims
6,771
Beneficiaries
10
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (PE MANAGER)
NPI Enumeration Date02/13/2018

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $887K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $775K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $557K
WELLSPAN MEDICAL GROUP YORK PA $501K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $90K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
WELLSPAN MEDICAL GROUP YORK PA $47K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 375 $21K
2021 2,492 $147K
2022 1,440 $75K
2023 1,732 $78K
2024 1,259 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,734 3,457 $207K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,272 1,182 $96K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 903 848 $45K
99215 Prolong outpt/office vis 112 91 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 215 213 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 227 225 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 71 71 $2K
81025 451 438 $2K
0502F 228 168 $2K
90715 85 78 $2K