Physician
Pinnacle Ent Alliance LLC
Pinnacle Ent Alliance LLC was paid $384K by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPINNACLE ENT ALLIANCE LLC
WAYNE, PA 19087
WAYNE, PA 19087
33aNPI1538230313assigned 11/13/2006
33bProvider typeOtolaryngology/Facial Plastic Surgery Physician
28Total paid$384K
24GClaims9,746
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Otolaryngology/Facial Plastic Surgery Physician providers in Pennsylvania
Rank by total paid#1 of 12
Median peer was paid$3K
This provider vs. median130×
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 | |
|---|---|---|---|
| 2020 | 234 | $7K | |
| 2021 | 1,745 | $50K | |
| 2022 | 2,321 | $82K | |
| 2023 | 2,267 | $83K | |
| 2024incomplete | 3,179 | $162K |
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 | 29% | 3,342 | 3,143 | $112K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 1,938 | 1,915 | $106K |
| 31231 | 25% | 931 | 883 | $96K | |
| 92557 | 4.8% | 555 | 547 | $19K | |
| 31575 | 4.2% | 212 | 200 | $16K | |
| 95117 | 3.3% | 1,083 | 641 | $13K | |
| 92567 | 3.0% | 1,081 | 1,034 | $12K | |
| 92550 | <1% | 194 | 189 | $3K | |
| 69210 | <1% | 128 | 123 | $2K | |
| 31615 | <1% | 25 | 25 | $2K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | 12 | $1K |
| 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 | <1% | 14 | 14 | $848.94 |
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 officialSURKIN, MARC (PRESIDENT)