Behavioral
Pinnacle Enterprises PC
Pinnacle Enterprises PC was paid $5.15M by Medicaid between Jan 2018 and Nov 2024, across 83 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoPINNACLE ENTERPRISES PC
PHENIX CITY, AL 36867
PHENIX CITY, AL 36867
33aNPI1447374640assigned 03/16/2007
33bProvider typeClinical Psychologist
28Total paid$5.15M
24GClaims139,174
24DCodes billed83
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Psychologist providers in Alabama
Rank by total paid#2 of 25
Median peer was paid$107K
This provider vs. median48×
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 | 21,750 | $859K | |
| 2019 | 24,891 | $934K | |
| 2020 | 17,834 | $616K | |
| 2021 | 20,330 | $773K | |
| 2022 | 22,011 | $787K | |
| 2023 | 19,668 | $714K | |
| 2024incomplete | 12,690 | $464K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 19,200 | 17,166 | $1.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 18,746 | 17,150 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 4,136 | 4,089 | $275K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 3,623 | 3,541 | $242K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 3,562 | 3,519 | $233K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 5,459 | 5,315 | $210K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 2,128 | 2,089 | $138K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 3,500 | 2,290 | $128K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 11,341 | 11,194 | $114K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 871 | 779 | $100K |
| 90461 | 1.6% | 2,916 | 2,864 | $85K | |
| 90700 | 1.4% | 4,346 | 4,286 | $74K |
71 more codes
| 87428 | 1.3% | 1,436 | $69K | |
| D1206 | Topical application of fluoride varnish | 1.2% | 2,985 | $60K |
| 90713 | 1.2% | 3,498 | $60K | |
| 90648 | 1.1% | 3,439 | $58K | |
| 90670 | 1.0% | 2,864 | $53K | |
| 92551 | <1% | 7,641 | $43K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,415 | $41K |
| 90680 | <1% | 2,068 | $35K | |
| 90686 | <1% | 1,741 | $32K | |
| 96127 | <1% | 8,347 | $29K | |
| 99173 | <1% | 6,461 | $28K | |
| 90633 | <1% | 1,392 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,812 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,089 | $23K |
| 96132 | <1% | 253 | $22K | |
| 90744 | <1% | 1,291 | $22K | |
| 99401 | <1% | 921 | $19K | |
| 90716 | <1% | 1,014 | $18K | |
| 90707 | <1% | 1,012 | $18K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 1,169 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 648 | $12K |
| 90837 | Psychotherapy session, about an hour | <1% | 207 | $11K |
| 90651 | <1% | 439 | $8K | |
| 90671 | <1% | 595 | $6K | |
| 96138 | <1% | 257 | $6K | |
| 90685 | <1% | 279 | $5K | |
| 90688 | <1% | 330 | $5K | |
| 96119 | <1% | 114 | $4K | |
| 90619 | <1% | 258 | $4K | |
| 90734 | <1% | 204 | $4K | |
| 0072A | <1% | 96 | $4K | |
| 0071A | <1% | 90 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 89 | $3K |
| 96120 | <1% | 114 | $3K | |
| 90672 | <1% | 172 | $3K | |
| 99381 | <1% | 39 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 493 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 100 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 166 | $3K |
| E0570 | Nebulizer, with compressor | <1% | 45 | $3K |
| 94664 | <1% | 263 | $2K | |
| 96161 | <1% | 814 | $2K | |
| 90715 | <1% | 101 | $2K | |
| 99383 | <1% | 27 | $2K | |
| 69210 | <1% | 73 | $2K | |
| 0002A | <1% | 34 | $1K | |
| 99461 | <1% | 13 | $1K | |
| 80305 | <1% | 293 | $1K | |
| 87807 | <1% | 107 | $1K | |
| 0001A | <1% | 30 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | $1K |
| 94010 | <1% | 25 | $552.00 | |
| 90658 | <1% | 45 | $512.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 59 | $478.80 |
| 99152 | <1% | 45 | $453.88 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 79 | $441.94 |
| 99490 | Ccm add 20min | <1% | 130 | $186.61 |
| 81002 | <1% | 51 | $149.61 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 33 | $125.10 |
| 81025 | <1% | 25 | $72.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 106 | $34.97 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 47 | $17.91 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 75 | $3.77 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $0.15 |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 0% | 35 | $0.00 |
| 91300 | 0% | 58 | $0.00 | |
| 99072 | 0% | 12 | $0.00 | |
| 97802 | 0% | 70 | $0.00 | |
| 96146 | 0% | 13 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 99406 | 0% | 15 | $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 officialCHANDRA, RITU (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Opelika Pediatrics & Family Clinic PC | Opelika, AL | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.