Clinic
Pinnacle Urgent Care PLLC
Pinnacle Urgent Care PLLC was paid $789K by Medicaid between May 2023 and Dec 2024, across 15 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 37% of everything it billed.
33Billing provider infoPINNACLE URGENT CARE PLLC
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1437860889assigned 12/07/2022
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$789K
24GClaims16,571
24DCodes billed15
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in North Carolina
Rank by total paid#23 of 69
Median peer was paid$333K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 3,925 | $180K | |
| 2024incomplete | 12,646 | $608K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 3,266 | 2,396 | $290K |
| 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 | 24% | 2,825 | 2,381 | $193K |
| 87428 | 22% | 3,740 | 3,092 | $177K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.6% | 969 | 655 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 690 | 618 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 2,564 | 2,186 | $28K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 440 | 325 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 178 | 156 | $3K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,231 | 1,107 | $3K |
| 87807 | <1% | 176 | 153 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | 18 | $686.34 |
| 81003 | <1% | 332 | 256 | $585.12 |
3 more codes
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 officialBLANCHARD, MATTHEW (OWNER)