Physician
Pinnacle Neurology Associates PLC
Pinnacle Neurology Associates PLC was paid $133K by Medicaid between Apr 2019 and Nov 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
33Billing provider infoPINNACLE NEUROLOGY ASSOCIATES PLC
SCOTTSDALE, AZ 85255
SCOTTSDALE, AZ 85255
33aNPI1306275920assigned 11/04/2013
33bProvider typeNeurology Physician
28Total paid$133K
24GClaims1,822
24DCodes billed9
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Arizona
Rank by total paid#30 of 63
Median peer was paid$89K
This provider vs. median1.5×
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.
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 | |
|---|---|---|---|
| 2019 | 25 | $2K | |
| 2020 | 17 | $2K | |
| 2021 | 96 | $6K | |
| 2022 | 285 | $20K | |
| 2023 | 663 | $43K | |
| 2024incomplete | 736 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 1,146 | 760 | $72K |
| 99223 | Prolong inpt eval add15 m | 28% | 372 | 363 | $37K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.3% | 156 | 155 | $11K |
| 99255 | 3.1% | 24 | 24 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 43 | 32 | $3K |
| 99245 | 2.0% | 29 | 28 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 27 | 26 | $3K |
| 95816 | <1% | 12 | 12 | $281.20 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 12 | $188.96 |
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 officialALSAHLANI, RAFAH (MEMBER)