Physician
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $2K by Medicaid between Sep 2018 and Nov 2019, across 3 billing codes. Its largest line is 90686, — 41% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HUMMELSTOWN, PA 17036
HUMMELSTOWN, PA 17036
33aNPI1518272764assigned 08/12/2010
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2K
24GClaims70
24DCodes billed3
24AFirst – last monthSep 2018 – Nov 2019
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#37 of 44
Median peer was paid$39K
This provider vs. median0.0×
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 GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more
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 | 53 | $2K | |
| 2019 | 17 | $326.09 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 41% | 39 | 39 | $763.13 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 12 | 12 | $698.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 21% | 19 | 18 | $400.00 |
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 officialGUARNESCHELLI, PHILIP (SENIOR VP-CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| UPMC Hillman Cancer Center-Pinnacle | Camp Hill, PA | $246K |
| Pinnacle Health Medical Services | Lemoyne, PA | $156K |
| Pinnacle Health Medical Services | Lemoyne, PA | $38K |
| Pinnacle Health Medical Services | Harrisburg, PA | $38K |
| Pinnacle Health Regional Physicians | Lancaster, PA | $20K |
| Pinnacle Health Medical Services | Lemoyne, PA | $12K |
| UPMC Pinnacle Hospitals | Mechanicsburg, PA | $10K |
| UPMC Pinnacle Hospitals | Harrisburg, PA | $8K |
| Pinnacle Health Medical Services | Lemoyne, PA | $7K |
| Pinnacle Health Medical Services | Enola, PA | $3K |
| UPMC Pinnacle Hospitals | Harrisburg, PA | $2K |
| Pinnacle Health Medical Services | Lemoyne, PA | $2K |
| UPMC Pinnacle Hospitals | Mechanicsburg, PA | $1K |
| Pinnacle Health Medical Services | Lancaster, PA | $1K |
| Pinnacle Health Medical Services | York, PA | $510.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.