Physician
Pinnacle Health Regional Physicians
Pinnacle Health Regional Physicians was paid $87.60 by Medicaid between May 2024 and Sep 2024, across 1 billing code. Its largest line is 81003, — 100% of everything it billed.
33Billing provider infoPINNACLE HEALTH REGIONAL PHYSICIANS
CARLISLE, PA 17015
CARLISLE, PA 17015
33aNPI1376063511assigned 06/20/2017
33bProvider typeUrology Physician
28Total paid$87.60
24GClaims45
24DCodes billed1
24AFirst – last monthMay 2024 – Sep 2024
Compared with peers
Next to other Urology Physician providers in Pennsylvania
Rank by total paid#120 of 134
Median peer was paid$3K
This provider vs. median0.0×
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.
Entity ProliferationAuthorized official MARKLEY, CHRISTOPHER 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 | |
|---|---|---|---|
| 2024incomplete | 45 | $87.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 81003 | 100% | 45 | 41 | $87.60 |
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 officialMARKLEY, CHRISTOPHER (SR VP, STRAT SVCS/GEN COUNSEL)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.