Nursing facility
Pinnacle Physicians Group LLC
Pinnacle Physicians Group LLC was paid $2.51M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPINNACLE PHYSICIANS GROUP LLC
TREVOSE, PA 19053
TREVOSE, PA 19053
33aNPI1184984809assigned 05/29/2012
33bProvider typeCustodial Care Facility
28Total paid$2.51M
24GClaims83,821
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
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 | 706 | $3K | |
| 2019 | 31 | $1K | |
| 2020 | 3,552 | $130K | |
| 2021 | 11,771 | $434K | |
| 2022 | 23,066 | $672K | |
| 2023 | 23,694 | $753K | |
| 2024incomplete | 21,001 | $522K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 27,839 | 25,758 | $1.23M |
| 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 | 19% | 8,231 | 7,636 | $487K |
| 99340 | 8.4% | 1,253 | 1,249 | $212K | |
| 99499 | 7.4% | 11,883 | 9,502 | $185K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.0% | 2,065 | 1,916 | $126K |
| 99491 | Ccm add 20min | 2.8% | 720 | 717 | $70K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.4% | 1,025 | 982 | $61K |
| 99437 | 1.9% | 715 | 711 | $49K | |
| G0008 | Administration of influenza virus vaccine | <1% | 1,786 | 1,750 | $12K |
| 3074F | <1% | 3,750 | 3,506 | $10K | |
| 93000 | <1% | 694 | 663 | $10K | |
| 90686 | <1% | 902 | 881 | $10K |
50 more codes
| 3078F | <1% | 2,628 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 81 | $5K |
| 90688 | <1% | 345 | $5K | |
| 92557 | <1% | 305 | $5K | |
| 92587 | <1% | 163 | $5K | |
| 3079F | <1% | 1,091 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | $3K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 449 | $3K |
| 3008F | <1% | 4,660 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $2K |
| 99496 | <1% | 14 | $2K | |
| 92550 | <1% | 299 | $2K | |
| 96127 | <1% | 555 | $2K | |
| 0012A | <1% | 38 | $2K | |
| 90682 | <1% | 170 | $2K | |
| 99243 | <1% | 25 | $1K | |
| 90756 | <1% | 83 | $1K | |
| 3075F | <1% | 263 | $940.00 | |
| 0011A | <1% | 20 | $834.00 | |
| 99386 | <1% | 14 | $273.00 | |
| 99442 | <1% | 13 | $237.80 | |
| 90673 | <1% | 13 | $211.50 | |
| 99397 | <1% | 14 | $180.74 | |
| 99080 | <1% | 587 | $100.58 | |
| 3080F | <1% | 26 | $90.00 | |
| 3077F | <1% | 14 | $70.00 | |
| 99441 | <1% | 13 | $48.68 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,511 | $47.64 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,209 | $37.70 |
| 99072 | <1% | 151 | $13.50 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 187 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 937 | $0.00 |
| 1036F | 0% | 118 | $0.00 | |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 167 | $0.00 |
| 1220F | 0% | 182 | $0.00 | |
| 1170F | 0% | 45 | $0.00 | |
| 1101F | 0% | 51 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 54 | $0.00 |
| 1126F | 0% | 32 | $0.00 | |
| 1125F | 0% | 34 | $0.00 | |
| 1000F | 0% | 13 | $0.00 | |
| 86580 | 0% | 15 | $0.00 | |
| 90656 | 0% | 36 | $0.00 | |
| 1034F | 0% | 12 | $0.00 | |
| 1159F | 0% | 2,897 | $0.00 | |
| 1160F | 0% | 3,012 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 63 | $0.00 |
| 3288F | 0% | 109 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 79 | $0.00 |
| 1158F | 0% | 18 | $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.
From NPPES
Who's on the registration
Authorized officialHAHN, LARRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Physicians Group, LLC | Philadelphia, PA | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.