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

Pinnacle Urology,p.C.

Pinnacle Urology,p.C. was paid $607K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoPINNACLE UROLOGY,P.C.
FLUSHING, NY 11355
33aNPI1578741476assigned 02/04/2008
33bProvider typeUrology Physician
28Total paid$607K
24GClaims8,093
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#30 of 461
Median peer was paid$6K
This provider vs. median105×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,371$90K
20191,253$83K
2020913$62K
20211,514$119K
20221,210$98K
20231,136$96K
2024incomplete696$59K
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 39% 1,911 1,905 $237K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 2,044 1,980 $180K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 831 831 $99K
76775 7.4% 786 781 $45K
51798 2.8% 1,370 1,365 $17K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.7% 160 159 $17K
76770 1.1% 58 58 $6K
76857 <1% 83 83 $3K
81000 <1% 850 837 $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 officialLUANGKHOT, ROBERT (CEO)