Physician
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $1.08M by Medicaid between Apr 2019 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HARRISBURG, PA 17110
HARRISBURG, PA 17110
33aNPI1245244979assigned 07/28/2006
33bProvider typeAdolescent Medicine (Family Medicine) Physician
28Total paid$1.08M
24GClaims42,583
24DCodes billed42
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Adolescent Medicine (Family Medicine) Physician providers in Pennsylvania
Rank by total paid#1 of 8
Median peer was paid$35K
This provider vs. median31×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 54 | $1K | |
| 2023 | 20,956 | $508K | |
| 2024incomplete | 21,573 | $567K |
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 | 26% | 6,733 | 6,234 | $281K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 2,123 | 2,107 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 2,103 | 1,969 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 2,056 | 2,040 | $194K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 1,019 | 1,008 | $96K |
| 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 | 6.0% | 985 | 951 | $65K |
| 92551 | 1.0% | 4,286 | 4,249 | $11K | |
| 99173 | <1% | 4,122 | 4,085 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,955 | 1,617 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80 | 74 | $3K |
| 96161 | <1% | 1,600 | 1,458 | $2K | |
| 96160 | <1% | 1,422 | 1,405 | $1K |
30 more codes
| 90674 | <1% | 968 | $1K | |
| 96127 | <1% | 985 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 156 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $607.00 |
| 90686 | <1% | 24 | $415.54 | |
| 90656 | <1% | 209 | $148.60 | |
| 85018 | <1% | 90 | $87.74 | |
| 90696 | 0% | 268 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 29 | $0.00 |
| 90651 | 0% | 817 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 141 | $0.00 |
| 90677 | 0% | 696 | $0.00 | |
| 90716 | 0% | 319 | $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 | 0% | 12 | $0.00 |
| 90723 | 0% | 1,052 | $0.00 | |
| 90619 | 0% | 57 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 32 | $0.00 |
| 90681 | 0% | 606 | $0.00 | |
| 90670 | 0% | 576 | $0.00 | |
| 83655 | 0% | 2,328 | $0.00 | |
| 90715 | 0% | 394 | $0.00 | |
| 80061 | Lipid panel | 0% | 474 | $0.00 |
| 90734 | 0% | 609 | $0.00 | |
| 90633 | 0% | 753 | $0.00 | |
| 90648 | 0% | 1,346 | $0.00 | |
| 90710 | 0% | 316 | $0.00 | |
| 90700 | 0% | 284 | $0.00 | |
| 90661 | 0% | 175 | $0.00 | |
| 90707 | 0% | 311 | $0.00 | |
| 90671 | 0% | 46 | $0.00 |
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 officialMARKLEY, CHRISTOPHER (SENIOR VP)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.