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

Pinnacle Health Medical Services

Pinnacle Health Medical Services was paid $66K by Medicaid between Feb 2022 and Feb 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HANOVER, PA 17331
33aNPI1578109716assigned 11/22/2019
33bProvider typeObstetrics Physician
28Total paid$66K
24GClaims1,775
24DCodes billed5
24AFirst – last monthFeb 2022 – Feb 2023
Compared with peers

Next to other Obstetrics Physician providers in Pennsylvania

Rank by total paid#6 of 17
Median peer was paid$26K
This provider vs. median2.6×

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$5.0K$10K2018201920202021202220232024
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
20221,474$56K
2023301$10K
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 63% 655 634 $41K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 15% 103 102 $10K
80305 12% 563 538 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7.6% 412 393 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 42 41 $2K

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 (SENION 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.