Medicaid Provider Spending

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

PINNACLE PHYSICIANS GROUP LLC

NPI: 1184984809 · TREVOSE, PA 19053 · Custodial Care Facility · NPI assigned 05/29/2012

$2.51M
Total Medicaid Paid
83,821
Total Claims
75,979
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAHN, LARRY (PRESIDENT)
NPI Enumeration Date05/29/2012

Related Entities

Other providers sharing the same authorized official: HAHN, LARRY

ProviderCityStateTotal Paid
PINNACLE PHYSICIANS GROUP, LLC PHILADELPHIA PA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 706 $3K
2019 31 $1K
2020 3,552 $130K
2021 11,771 $434K
2022 23,066 $672K
2023 23,694 $753K
2024 21,001 $522K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,839 25,758 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,231 7,636 $487K
99340 1,253 1,249 $212K
99499 11,883 9,502 $185K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,065 1,916 $126K
99491 Ccm add 20min 720 717 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,025 982 $61K
99437 715 711 $49K
G0008 Administration of influenza virus vaccine 1,786 1,750 $12K
3074F 3,750 3,506 $10K
93000 694 663 $10K
90686 902 881 $10K
3078F 2,628 2,464 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 70 $5K
90688 345 313 $5K
92557 305 299 $5K
92587 163 161 $5K
3079F 1,091 1,041 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 96 93 $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) 449 347 $3K
3008F 4,660 4,343 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 46 $2K
99496 14 14 $2K
92550 299 293 $2K
96127 555 511 $2K
0012A 38 32 $2K
90682 170 144 $2K
99243 25 25 $1K
90756 83 83 $1K
3075F 263 255 $940.00
0011A 20 20 $834.00
99386 14 14 $273.00
99442 13 13 $237.80
90673 13 13 $211.50
99397 14 14 $180.74
99080 587 388 $100.58
3080F 26 25 $90.00
3077F 14 13 $70.00
99441 13 13 $48.68
G0444 Annual depression screening, 5 to 15 minutes 1,511 1,277 $47.64
36415 Collection of venous blood by venipuncture 1,209 1,067 $37.70
99072 151 135 $13.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes 187 166 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 937 788 $0.00
1036F 118 99 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 167 147 $0.00
1220F 182 181 $0.00
1170F 45 38 $0.00
1101F 51 46 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 54 54 $0.00
1126F 32 32 $0.00
1125F 34 29 $0.00
1000F 13 13 $0.00
86580 15 12 $0.00
90656 36 36 $0.00
1034F 12 12 $0.00
1159F 2,897 2,587 $0.00
1160F 3,012 2,694 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 63 59 $0.00
3288F 109 102 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 79 69 $0.00
1158F 18 18 $0.00