Medicaid Provider Spending

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

PINNACLE CARE PROVIDERS, LLC

NPI: 1578799417 · CANTON, OH 44702 · Family Medicine Physician · NPI assigned 06/05/2009

$1.66M
Total Medicaid Paid
182,191
Total Claims
103,547
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCLAIN, BRIAN (CEO)
NPI Enumeration Date06/05/2009

Related Entities

Other providers sharing the same authorized official: MCCLAIN, BRIAN

ProviderCityStateTotal Paid
LEXINGTON SURGERY CENTER LTD LEXINGTON KY $5.41M
SKILL DOC 101, LLC CANTON OH $436K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,616 $121K
2019 18,344 $129K
2020 11,476 $97K
2021 14,971 $201K
2022 41,141 $594K
2023 51,663 $279K
2024 29,980 $237K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 73,903 43,773 $738K
99309 Subsequent nursing facility care, per day, low to moderate complexity 51,309 28,500 $712K
99232 Subsequent hospital care, per day, moderate complexity 4,455 2,093 $58K
99222 Initial hospital care, per day, moderate complexity 1,074 924 $38K
99306 Prolong nursin fac eval 15m 1,354 1,219 $31K
99233 Prolong inpt eval add15 m 917 508 $17K
99304 722 677 $10K
99223 Prolong inpt eval add15 m 156 119 $9K
99348 1,190 805 $8K
99349 801 463 $7K
99335 1,701 1,074 $7K
99307 943 778 $6K
99490 Ccm add 20min 921 830 $5K
99238 Hospital discharge day management, 30 minutes or less 187 168 $4K
99305 202 179 $3K
99334 140 136 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 239 213 $2K
99318 66 58 $742.21
99406 194 158 $699.88
99336 429 229 $676.52
20552 30 13 $517.35
96120 40 34 $140.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 43 20 $87.92
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 37,283 17,937 $78.66
99347 14 14 $0.21
0518F 194 178 $0.00
1090F 14 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 325 276 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 91 82 $0.00
1100F 258 224 $0.00
G8482 Influenza immunization administered or previously received 175 161 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 20 19 $0.00
3288F 109 95 $0.00
1101F 1,807 808 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 100 88 $0.00
1123F 729 637 $0.00
G9922 Safety concerns screen provided and if positive then documented mitigation recommendations 32 32 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 24 12 $0.00