Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1285064626 · HARRISBURG, PA 17101 · Genetic Counselor (M.S.) · NPI assigned 11/21/2013

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$557K
Total Medicaid Paid
5,856
Total Claims
5,204
Beneficiaries
9
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (PE MANAGER)
NPI Enumeration Date11/21/2013

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $887K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $775K
WELLSPAN MEDICAL GROUP YORK PA $501K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $375K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $90K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
WELLSPAN MEDICAL GROUP YORK PA $47K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,097 $195K
2024 3,759 $363K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,589 2,471 $214K
76819 Fetal biophysical profile; without non-stress testing 1,698 1,202 $159K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 703 694 $151K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 368 356 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125 113 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 61 61 $6K
76830 Ultrasound, transvaginal 24 24 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $708.92
96040 276 271 $122.67