Physician
Pinnacle Physicians Group, LLC
Pinnacle Physicians Group, LLC was paid $34K by Medicaid between Oct 2020 and Aug 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoPINNACLE PHYSICIANS GROUP, LLC
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
33aNPI1194066308assigned 03/13/2013
33bProvider typeInternal Medicine Physician
28Total paid$34K
24GClaims828
24DCodes billed6
24AFirst – last monthOct 2020 – Aug 2023
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#417 of 1,726
Median peer was paid$6K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 154 | $7K | |
| 2021 | 603 | $25K | |
| 2022 | 41 | $2K | |
| 2023 | 30 | $625.25 |
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 | 93% | 682 | 646 | $32K |
| 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 | 2.6% | 13 | 13 | $873.23 |
| G0008 | Administration of influenza virus vaccine | 1.9% | 73 | 73 | $651.00 |
| 99499 | 1.1% | 16 | 15 | $369.00 | |
| 90686 | <1% | 25 | 25 | $332.98 | |
| 3008F | <1% | 19 | 19 | $190.00 |
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 | Trevose, PA | $2.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.