Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pinnacle Medical Group, INC

Pinnacle Medical Group, INC was paid $2.61M by Medicaid between Jan 2018 and Nov 2024, across 100 billing codes. Its largest line is S9083, Global fee urgent care centers — 50% of everything it billed.

33Billing provider infoPINNACLE MEDICAL GROUP, INC
FONTANA, CA 92335
33aNPI1376876912assigned 09/15/2009
33bProvider typePediatrics Physician
28Total paid$2.61M
24GClaims1,015,451
24DCodes billed100
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#56 of 1,490
Median peer was paid$15K
This provider vs. median174×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018198,782$1.13M
2019219,111$604K
2020106,427$252K
202190,582$180K
2022166,408$206K
2023178,188$233K
2024incomplete55,953$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9083 Global fee urgent care centers 50% 23,947 21,016 $1.31M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 126,641 118,386 $700K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.3% 5,212 5,200 $216K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 6.2% 6,004 5,937 $162K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.4% 35,070 32,797 $89K
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 2.8% 12,893 12,465 $74K
99201 <1% 851 830 $15K
92551 <1% 17,675 17,358 $6K
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% 157 157 $4K
88141 <1% 61 51 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,580 3,562 $3K
90715 <1% 1,756 1,739 $3K
88 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,945 $3K
90670 <1% 1,885 $2K
90688 <1% 2,156 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,767 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 846 $1K
90698 <1% 922 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 5,097 $1K
90686 <1% 4,640 $899.85
90744 <1% 426 $862.34
99441 <1% 550 $699.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,007 $682.22
93000 <1% 2,057 $657.58
3008F <1% 167,019 $618.12
90633 <1% 927 $615.89
96160 <1% 15,183 $588.22
90710 <1% 661 $576.22
90734 <1% 1,709 $548.05
99442 <1% 482 $509.51
85018 <1% 19,013 $458.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12,594 $426.00
82962 <1% 4,612 $422.30
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 75 $418.65
86580 <1% 1,330 $416.24
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 13,512 $402.42
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 885 $391.38
3078F <1% 132,256 $388.85
3074F <1% 150,754 $325.22
81003 <1% 20,845 $300.38
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 819 $217.60
99383 <1% 97 $217.12
90651 <1% 2,643 $214.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 688 $203.42
3079F <1% 43,818 $196.95
90680 <1% 90 $174.00
G9920 Screening performed and negative <1% 10,763 $172.26
3077F <1% 18,352 $171.70
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 939 $164.88
99443 <1% 40 $142.74
3075F <1% 18,508 $119.53
99385 <1% 45 $112.96
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 1,893 $88.14
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 200 $81.20
71046 Radiologic examination, chest; 2 views <1% 12 $77.78
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 336 $68.68
90648 <1% 26 $59.76
99384 <1% 62 $58.71
90700 <1% 24 $56.85
3725F <1% 34,160 $52.96
3080F <1% 12,538 $47.47
90619 <1% 753 $35.64
90756 <1% 662 $35.62
90656 <1% 98 $18.00
90621 <1% 487 $17.82
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,982 $10.40
81025 <1% 1,819 $10.33
90620 <1% 70 $8.91
99173 <1% 15,251 $1.97
99386 <1% 13 $1.88
1003F 0% 4,351 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 127 $0.00
3016F 0% 1,198 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 1,891 $0.00
69209 0% 259 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 36 $0.00
99382 0% 37 $0.00
2022F 0% 113 $0.00
1159F 0% 159 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 129 $0.00
1160F 0% 159 $0.00
1090F 0% 52 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 250 $0.00
1030F 0% 13,459 $0.00
H0049 Alcohol and/or drug screening 0% 10,105 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 31 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 0% 5,740 $0.00
96161 0% 24 $0.00
1125F 0% 143 $0.00
90674 0% 13 $0.00
G0008 Administration of influenza virus vaccine 0% 32 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 38 $0.00
1170F 0% 237 $0.00
1111F 0% 230 $0.00
3072F 0% 87 $0.00
1126F 0% 138 $0.00
90696 0% 151 $0.00
G9921 No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified 0% 27 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 26 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 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.

From NPPES

Who's on the registration

Authorized officialSABBAH, CHARLES (MEDICAL DIRECTOR)