Medicaid Provider Spending

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

UPMC HILLMAN CANCER CENTER-PINNACLE

NPI: 1275163362 · CAMP HILL, PA 17011 · Hematology (Internal Medicine) Physician · NPI assigned 01/17/2020

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

Authorized official GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more

$246K
Total Medicaid Paid
4,633
Total Claims
4,229
Beneficiaries
6
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (SENIOR VP)
NPI Enumeration Date01/17/2020

Related Entities

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

ProviderCityStateTotal Paid
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $156K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $38K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $38K
PINNACLE HEALTH REGIONAL PHYSICIANS LANCASTER PA $20K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $12K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $10K
UPMC PINNACLE HOSPITALS HARRISBURG PA $8K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $7K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $3K
UPMC PINNACLE HOSPITALS HARRISBURG PA $2K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $2K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $2K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $1K
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $1K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $510.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,399 $71K
2022 1,381 $77K
2023 903 $45K
2024 950 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,347 1,105 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,840 1,722 $100K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,099 1,074 $41K
99205 Prolong outpt/office vis 13 13 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K
36415 Collection of venous blood by venipuncture 310 291 $400.07