Pinnacle Dermatology LLC

Pinnacle Dermatology LLC was paid $40K by Medicaid between Feb 2018 and Jul 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoPINNACLE DERMATOLOGY LLC
LEWISBURG, WV 24901

33aNPI1316350499assigned 06/06/2014

33bProvider typeDermatology Physician

28Total paid$40K

24GClaims972

24DCodes billed3

24AFirst – last monthFeb 2018 – Jul 2024

Compared with peers

Next to other Dermatology Physician providers in West Virginia

Rank by total paid#4 of 10

Median peer was paid$7K

This provider vs. median5.7×

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
2018	529	$20K
2019	63	$2K
2020	138	$6K
2021	157	$7K
2022	29	$2K
2023	30	$2K
2024incomplete	26	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	64%	594	486	$25K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	30%	338	250	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.1%	40	37	$2K

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 officialTAWNEY, KRYSTAL (OWNER)