Physician
Pinnacle Healthcare PLLC
Pinnacle Healthcare PLLC was paid $230K by Medicaid between Mar 2024 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPINNACLE HEALTHCARE PLLC
MISSION, TX 78572
MISSION, TX 78572
33aNPI1447826383assigned 06/01/2021
33bProvider typeFamily Medicine Physician
28Total paid$230K
24GClaims9,667
24DCodes billed31
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#282 of 1,204
Median peer was paid$31K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2024incomplete | 9,667 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 2,856 | 2,241 | $107K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 13% | 748 | 714 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 200 | 191 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 192 | 171 | $14K |
| 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 | 5.3% | 242 | 235 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 209 | 172 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 619 | 460 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 568 | 539 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 99 | 96 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 466 | 230 | $6K |
| 99000 | 1.2% | 367 | 336 | $3K | |
| 92567 | <1% | 177 | 176 | $2K |
19 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 347 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 194 | $2K |
| 99429 | <1% | 132 | $615.57 | |
| 87807 | <1% | 48 | $517.00 | |
| 96160 | <1% | 153 | $209.61 | |
| 81003 | <1% | 102 | $189.00 | |
| 83655 | <1% | 13 | $132.21 | |
| 94760 | <1% | 104 | $56.36 | |
| 90461 | <1% | 43 | $7.84 | |
| 96161 | <1% | 75 | $2.07 | |
| 97802 | <1% | 551 | $0.02 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 559 | $0.00 |
| 90656 | 0% | 146 | $0.00 | |
| 90680 | 0% | 28 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 90671 | 0% | 58 | $0.00 | |
| 99173 | 0% | 276 | $0.00 | |
| 90734 | 0% | 16 | $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 officialCAMPOS, MOSES (OWNER)