Pinnacle Physician Resources

Pinnacle Physician Resources was paid $100K by Medicaid between Jan 2018 and Feb 2018, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoPINNACLE PHYSICIAN RESOURCES
ASHLAND, KY 41101

33aNPI1235447046assigned 09/15/2010

33bProvider typeFamily Nurse Practitioner

28Total paid$100K

24GClaims2,289

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#123 of 424

Median peer was paid$19K

This provider vs. median5.3×

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	2,289	$100K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	46%	662	593	$46K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	42%	792	728	$42K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.3%	169	156	$6K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.7%	36	32	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.9%	394	356	$2K
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	236	204	$133.73

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 officialSPEARS, GREGORY (PRESIDENT)