Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1245244979 · HARRISBURG, PA 17110 · Adolescent Medicine (Family Medicine) Physician · NPI assigned 07/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$1.08M
Total Medicaid Paid
42,583
Total Claims
41,129
Beneficiaries
42
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $343K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $108K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 54 $1K
2023 20,956 $508K
2024 21,573 $567K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,733 6,234 $281K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,123 2,107 $204K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,103 1,969 $201K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,056 2,040 $194K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,019 1,008 $96K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 985 951 $65K
92551 4,286 4,249 $11K
99173 4,122 4,085 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,955 1,617 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80 74 $3K
96161 1,600 1,458 $2K
96160 1,422 1,405 $1K
90674 968 959 $1K
96127 985 972 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 156 153 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 26 25 $607.00
90686 24 22 $415.54
90656 209 209 $148.60
85018 90 90 $87.74
90696 268 263 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 29 29 $0.00
90651 817 804 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 141 141 $0.00
90677 696 682 $0.00
90716 319 312 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 12 12 $0.00
90723 1,052 1,042 $0.00
90619 57 57 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 32 32 $0.00
90681 606 600 $0.00
90670 576 574 $0.00
83655 2,328 2,307 $0.00
90715 394 389 $0.00
80061 Lipid panel 474 468 $0.00
90734 609 597 $0.00
90633 753 743 $0.00
90648 1,346 1,332 $0.00
90710 316 310 $0.00
90700 284 281 $0.00
90661 175 175 $0.00
90707 311 306 $0.00
90671 46 46 $0.00