Physician
Pinnacle Healthcare, LLC
Pinnacle Healthcare, LLC was paid $633K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99349, — 27% of everything it billed.
33Billing provider infoPINNACLE HEALTHCARE, LLC
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1568793974assigned 01/25/2010
33bProvider typeInternal Medicine Physician
28Total paid$633K
24GClaims18,424
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#78 of 395
Median peer was paid$68K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2018 | 2,383 | $86K | |
| 2019 | 2,216 | $74K | |
| 2020 | 1,691 | $67K | |
| 2021 | 2,719 | $87K | |
| 2022 | 3,697 | $123K | |
| 2023 | 3,564 | $120K | |
| 2024incomplete | 2,154 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 27% | 4,700 | 4,303 | $170K | |
| 99336 | 23% | 3,871 | 3,522 | $146K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 18% | 2,891 | 2,573 | $113K |
| 99350 | Prolong home eval add 15m | 10% | 1,587 | 1,450 | $65K |
| 99337 | 5.9% | 867 | 745 | $38K | |
| 99335 | 5.9% | 1,141 | 1,049 | $38K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.0% | 926 | 862 | $26K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 1.8% | 637 | 617 | $11K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 1.5% | 699 | 668 | $9K |
| 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 | 1.1% | 98 | 93 | $7K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 184 | 161 | $3K |
| 99348 | <1% | 88 | 83 | $2K |
9 more codes
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 officialSINGH, HARBIR (OWNER)