UPMC Hillman Cancer Center-Pinnacle
UPMC Hillman Cancer Center-Pinnacle was paid $246K by Medicaid between Jan 2021 and Nov 2024, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.
CAMP HILL, PA 17011
Next to other Hematology (Internal Medicine) Physician 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 | |
|---|---|---|---|
| 2021 | 1,399 | $71K | |
| 2022 | 1,381 | $77K | |
| 2023 | 903 | $45K | |
| 2024incomplete | 950 | $53K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 41% | 1,347 | 1,105 | $102K |
| 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 | 40% | 1,840 | 1,722 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,099 | 1,074 | $41K |
| 99205 | Prolong outpt/office vis | <1% | 13 | 13 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 24 | 24 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 310 | 291 | $400.07 |
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
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.