Pinnacle Health Regional Physicians
Pinnacle Health Regional Physicians was paid $119K by Medicaid between Jun 2023 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
LITITZ, PA 17543
Next to other Midwife providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 962 | $45K | |
| 2024incomplete | 1,617 | $75K |
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 | 85% | 2,035 | 1,921 | $101K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.6% | 194 | 183 | $11K |
| 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% | 55 | 52 | $3K |
| 0502F | 1.8% | 215 | 180 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | 12 | $618.26 |
| 76857 | <1% | 27 | 26 | $563.25 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 14 | 14 | $317.40 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 13 | $301.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | 12 | $3.50 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.