Physician
Pinnacle Physician Group, LLP
Pinnacle Physician Group, LLP was paid $1.01M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 39% of everything it billed.
33Billing provider infoPINNACLE PHYSICIAN GROUP, LLP
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
33aNPI1609008176assigned 08/18/2009
33bProvider typeInternal Medicine Physician
28Total paid$1.01M
24GClaims69,582
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#12 of 225
Median peer was paid$17K
This provider vs. median58×
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 | 16,119 | $164K | |
| 2019 | 17,244 | $157K | |
| 2020 | 15,759 | $211K | |
| 2021 | 9,732 | $157K | |
| 2022 | 2,634 | $76K | |
| 2023 | 5,449 | $160K | |
| 2024incomplete | 2,645 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 39% | 38,999 | 12,664 | $392K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 28% | 17,822 | 6,356 | $277K |
| 99223 | Prolong inpt eval add15 m | 19% | 5,276 | 4,109 | $187K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.1% | 3,697 | 2,880 | $82K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.3% | 1,501 | 1,150 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 884 | 704 | $15K |
| 99219 | <1% | 349 | 275 | $10K | |
| 99220 | <1% | 142 | 121 | $6K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 469 | 158 | $3K |
| 99217 | <1% | 88 | 76 | $2K | |
| 99225 | <1% | 34 | 27 | $425.76 | |
| 99497 | <1% | 321 | 287 | $34.73 |
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 officialKRUHLIAKIVSKA, OLEKSANDRA (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summit Physician Group LLP | Tuscaloosa, AL | $161K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.