Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1437637691 · NEW OXFORD, PA 17350 · Physician Assistant · NPI assigned 07/31/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$644K
Total Medicaid Paid
15,728
Total Claims
15,201
Beneficiaries
12
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date07/31/2018

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $1.08M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $343K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $108K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 78 $5K
2020 435 $26K
2021 4,609 $227K
2022 4,549 $179K
2023 3,908 $121K
2024 2,149 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,155 10,743 $492K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 741 720 $53K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,146 1,127 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 352 349 $25K
87428 1,228 1,195 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 713 689 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 179 172 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 158 151 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $654.69
87400 18 17 $165.60
81003 12 12 $44.64
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $35.09