NP / PA
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $1.24M by Medicaid between Dec 2021 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HANOVER, PA 17331
HANOVER, PA 17331
33aNPI1619535119assigned 05/31/2019
33bProvider typeNurse Practitioner
28Total paid$1.24M
24GClaims36,322
24DCodes billed23
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#5 of 372
Median peer was paid$7K
This provider vs. median180×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 14 | $864.50 | |
| 2022 | 790 | $25K | |
| 2023 | 19,020 | $618K | |
| 2024incomplete | 16,498 | $592K |
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 | 62% | 19,879 | 19,184 | $767K |
| 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 | 23% | 4,731 | 4,595 | $280K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 1,335 | 1,298 | $80K |
| 87428 | 3.2% | 2,216 | 2,137 | $39K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 4,024 | 3,909 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 503 | 494 | $14K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 38 | 38 | $5K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 42 | 36 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 129 | 127 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 420 | 409 | $4K |
| 81003 | <1% | 984 | 947 | $3K | |
| 81025 | <1% | 526 | 506 | $2K |
11 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 31 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $731.01 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $609.50 |
| 90715 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 389 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 61 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 146 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 641 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 86 | $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 officialMARKLEY, CHRISTOPHER (SENIOR VP)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.