Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1518918523 · MECHANICSBURG, PA 17050 · Nurse Practitioner · NPI assigned 05/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$108K
Total Medicaid Paid
2,256
Total Claims
1,802
Beneficiaries
5
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $1.08M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $343K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 185 $683.13
2023 531 $24K
2024 1,540 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,507 1,481 $72K
99232 Subsequent hospital care, per day, moderate complexity 576 155 $27K
99254 51 49 $7K
95251 80 80 $2K
99222 Initial hospital care, per day, moderate complexity 42 37 $414.50