UPMC Pinnacle Hospitals
UPMC Pinnacle Hospitals was paid $8K by Medicaid between Apr 2021 and Dec 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 98% of everything it billed.
HARRISBURG, PA 17101
Next to other Ambulatory Surgical Clinic/Center 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 | 476 | $181.26 | |
| 2022 | 2,573 | $3K | |
| 2023 | 5,492 | $0.00 | |
| 2024incomplete | 5,571 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 98% | 30 | 29 | $8K |
| J2704 | Injection, propofol, 10 mg | 1.4% | 2,568 | 2,190 | $108.39 |
| J3490 | Unclassified drugs | <1% | 1,584 | 1,227 | $32.71 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,772 | 1,560 | $25.19 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 2,116 | 1,687 | $6.47 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,473 | 1,387 | $5.50 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,550 | 1,492 | $3.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 250 | 191 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 638 | 517 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 860 | 728 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 25 | 25 | $0.00 |
| J0688 | Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg | 0% | 111 | 106 | $0.00 |
8 more codes
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 236 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 144 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 45 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 293 | $0.00 |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 319 | $0.00 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 0% | 47 | $0.00 |
| J0137 | Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg | 0% | 32 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 19 | $0.00 |
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 |
|---|---|---|
| UPMC Hillman Cancer Center-Pinnacle | Camp Hill, PA | $246K |
| 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 |
| 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.