Physician
Pinnacle Primary Care INC
Pinnacle Primary Care INC was paid $5.95M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPINNACLE PRIMARY CARE INC
BAKERSFIELD, CA 93313
BAKERSFIELD, CA 93313
33aNPI1619244688assigned 11/18/2011
33bProvider typeNeurological Surgery Physician
28Total paid$5.95M
24GClaims181,350
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurological Surgery Physician providers in California
Rank by total paid#1 of 93
Median peer was paid$35K
This provider vs. median171×
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 | 15,064 | $499K | |
| 2019 | 18,598 | $717K | |
| 2020 | 19,185 | $677K | |
| 2021 | 26,767 | $854K | |
| 2022 | 27,455 | $845K | |
| 2023 | 31,492 | $824K | |
| 2024incomplete | 42,789 | $1.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 61,579 | 49,957 | $2.53M |
| 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 | 18% | 23,013 | 20,622 | $1.08M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.6% | 4,226 | 4,220 | $513K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.8% | 3,338 | 3,336 | $408K |
| 99497 | 5.7% | 4,271 | 4,266 | $341K | |
| G9920 | Screening performed and negative | 3.3% | 5,856 | 5,841 | $195K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.6% | 7,791 | 7,778 | $152K |
| 99406 | 1.9% | 9,125 | 9,099 | $112K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 996 | 967 | $92K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 1,051 | 1,048 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 866 | 860 | $67K |
| 92551 | <1% | 4,338 | 4,295 | $55K |
53 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,185 | $42K |
| 99385 | <1% | 284 | $39K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 479 | $28K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,515 | $26K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 985 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,296 | $23K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,265 | $21K |
| 99173 | <1% | 3,706 | $16K | |
| 85018 | <1% | 9,630 | $15K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 311 | $14K |
| 81003 | <1% | 8,810 | $13K | |
| 86580 | <1% | 2,434 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 225 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 119 | $5K |
| 99386 | <1% | 36 | $5K | |
| 85014 | <1% | 2,198 | $4K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 84 | $3K |
| 90649 | <1% | 168 | $3K | |
| 99442 | <1% | 71 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 379 | $2K |
| 99383 | <1% | 28 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $2K |
| 90686 | <1% | 147 | $2K | |
| 99441 | <1% | 41 | $2K | |
| 82962 | <1% | 548 | $1K | |
| 99384 | <1% | 14 | $1K | |
| 90658 | <1% | 89 | $1K | |
| 90734 | <1% | 89 | $977.05 | |
| 92081 | <1% | 35 | $973.71 | |
| 94664 | <1% | 60 | $970.20 | |
| 81025 | <1% | 263 | $732.14 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 97 | $533.15 |
| 90715 | <1% | 43 | $495.64 | |
| 90700 | <1% | 46 | $407.25 | |
| 3074F | <1% | 6,848 | $291.02 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 29 | $184.12 |
| 90716 | <1% | 14 | $181.80 | |
| 3078F | <1% | 6,026 | $178.05 | |
| 90707 | <1% | 14 | $135.00 | |
| 3079F | <1% | 1,982 | $92.92 | |
| 3075F | <1% | 861 | $69.01 | |
| 1160F | <1% | 27 | $24.29 | |
| 1159F | <1% | 27 | $24.18 | |
| 3077F | <1% | 490 | $24.00 | |
| 3044F | <1% | 1,417 | $15.76 | |
| 3080F | 0% | 211 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 19 | $0.00 |
| 88141 | 0% | 47 | $0.00 | |
| 3008F | 0% | 30 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 40 | $0.00 |
| 3051F | 0% | 31 | $0.00 | |
| 81002 | 0% | 32 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 48 | $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 officialJUMAO-AS, ASELA (SHAREHOLDER)