Physician
Pinnacle Medical Group, LLC
Pinnacle Medical Group, LLC was paid $489K by Medicaid between Sep 2018 and Sep 2021, across 17 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 23% of everything it billed.
33Billing provider infoPINNACLE MEDICAL GROUP, LLC
NORTH ANDOVER, MA 01845
NORTH ANDOVER, MA 01845
33aNPI1194215210assigned 05/14/2018
33bProvider typeInternal Medicine Physician
28Total paid$489K
24GClaims17,487
24DCodes billed17
24AFirst – last monthSep 2018 – Sep 2021
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#78 of 1,270
Median peer was paid$8K
This provider vs. median58×
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 | |
|---|---|---|---|
| 2018 | 1,555 | $26K | |
| 2019 | 7,921 | $238K | |
| 2020 | 5,327 | $145K | |
| 2021 | 2,684 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 23% | 1,966 | 1,888 | $114K |
| 99223 | Prolong inpt eval add15 m | 18% | 1,116 | 1,055 | $86K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 14% | 3,996 | 2,446 | $68K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10.0% | 2,148 | 1,364 | $49K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.9% | 1,569 | 929 | $48K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 9.1% | 3,192 | 2,004 | $45K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.3% | 675 | 642 | $21K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.1% | 1,010 | 781 | $15K |
| 99220 | 2.9% | 247 | 240 | $14K | |
| 99221 | 1.8% | 199 | 188 | $9K | |
| 99310 | Prolong nursin fac eval 15m | 1.5% | 276 | 258 | $7K |
| 99307 | 1.2% | 940 | 602 | $6K |
5 more codes
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 officialMAJEKODUNMI, AKINDELE (MD/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Healthplus LLC | Middleton, MA | $226K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.