Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $557K by Medicaid between Jun 2023 and Dec 2024, across 9 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 38% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HARRISBURG, PA 17101
HARRISBURG, PA 17101
33aNPI1285064626assigned 11/21/2013
33bProvider typeGenetic Counselor (M.S.)
28Total paid$557K
24GClaims5,856
24DCodes billed9
24AFirst – last monthJun 2023 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WILKINSON, AMY 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 | |
|---|---|---|---|
| 2023 | 2,097 | $195K | |
| 2024incomplete | 3,759 | $363K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 38% | 2,589 | 2,471 | $214K |
| 76819 | Fetal biophysical profile; without non-stress testing | 29% | 1,698 | 1,202 | $159K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 27% | 703 | 694 | $151K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 368 | 356 | $17K |
| 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 | 1.3% | 125 | 113 | $7K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 61 | 61 | $6K |
| 76830 | Ultrasound, transvaginal | <1% | 24 | 24 | $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% | 12 | 12 | $708.92 |
| 96040 | <1% | 276 | 271 | $122.67 |
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 officialWILKINSON, AMY (PE MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.