Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pinnacle Health Regional Physicians

Pinnacle Health Regional Physicians was paid $49K by Medicaid between Jun 2023 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoPINNACLE HEALTH REGIONAL PHYSICIANS
CARLISLE, PA 17015
33aNPI1477070241assigned 08/23/2017
28Total paid$49K
24GClaims1,046
24DCodes billed4
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#320 of 1,726
Median peer was paid$6K
This provider vs. median7.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2023408$18K
2024incomplete638$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 93% 902 839 $46K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.6% 105 101 $3K
90674 <1% 26 26 $250.49
90661 0% 13 12 $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 officialMARKLEY, CHRISTOPHER (SENIOR VP)
Same official

Other billing entities under MARKLEY, CHRISTOPHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.