Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

Pinnacle Emergency Physicians of Bakersfield, a Professional Corp was paid $31.29M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.

33Billing provider infoPINNACLE EMERGENCY PHYSICIANS OF BAKERSFIELD, A PROFESSIONAL CORP
BAKERSFIELD, CA 93301

33aNPI1619153251assigned 01/14/2008

33bProvider typeEmergency Medicine Physician

28Total paid$31.29M

24GClaims436,562

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#5 of 988

Median peer was paid$32K

This provider vs. median986×

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	63,783	$4.64M
2019	72,486	$5.07M
2020	51,379	$3.52M
2021	58,343	$4.07M
2022	60,878	$4.53M
2023	66,336	$4.81M
2024incomplete	63,357	$4.65M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	44%	166,535	162,252	$13.76M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	32%	112,147	108,725	$9.94M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	86,657	83,243	$6.58M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2.4%	7,726	7,623	$765K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	55,698	52,761	$161K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	527	515	$45K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	248	231	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	940	936	$20K
99406		<1%	3,553	3,460	$6K
93042		<1%	955	948	$1K
12001		<1%	505	487	$500.06
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	199	195	$254.88

7 more codes

G9744	Patient not eligible due to active diagnosis of hypertension	<1%	95	$176.43
12011		<1%	445	$168.49
29125		<1%	13	$66.67
71046	Radiologic examination, chest; 2 views	<1%	195	$9.34
12002		0%	68	$0.00
71045	Radiologic examination, chest; single view	0%	32	$0.00
10061		0%	24	$0.00

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 officialBURSON, LESLIE (OWNER)