Agency
Pinnacle Medical Systems,inc
Pinnacle Medical Systems,inc was paid $16.30M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 61% of everything it billed.
33Billing provider infoPINNACLE MEDICAL SYSTEMS,INC
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1396862975assigned 03/26/2007
33bProvider typeNursing Care Agency
28Total paid$16.30M
24GClaims221,151
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nursing Care Agency providers in Texas
Rank by total paid#41 of 162
Median peer was paid$5.72M
This provider vs. median2.8×
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 | 4,104 | $1.17M | |
| 2019 | 8,458 | $1.30M | |
| 2020 | 29,016 | $1.98M | |
| 2021 | 56,746 | $3.47M | |
| 2022 | 49,413 | $3.32M | |
| 2023 | 37,474 | $2.48M | |
| 2024incomplete | 35,940 | $2.58M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 61% | 169,797 | 7,957 | $9.94M |
| T2026 | Specialized childcare, waiver; per diem | 26% | 19,096 | 1,106 | $4.19M |
| H2032 | Activity therapy, per 15 minutes | 6.6% | 4,920 | 948 | $1.07M |
| 97124 | 3.7% | 6,048 | 940 | $600K | |
| G0648 | 1.5% | 17,007 | 1,813 | $251K | |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 1,517 | 413 | $140K |
| T1005 | Respite care services, up to 15 minutes | <1% | 2,766 | 183 | $108K |
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 officialANEKWE, ZENOBIA (ADMINISTRATOR)