Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1619535119 · HANOVER, PA 17331 · Nurse Practitioner · NPI assigned 05/31/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$1.24M
Total Medicaid Paid
36,322
Total Claims
35,130
Beneficiaries
23
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date05/31/2019

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $1.08M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $343K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $108K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $864.50
2022 790 $25K
2023 19,020 $618K
2024 16,498 $592K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,879 19,184 $767K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,731 4,595 $280K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,335 1,298 $80K
87428 2,216 2,137 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,024 3,909 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 503 494 $14K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 38 38 $5K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 42 36 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 129 127 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 420 409 $4K
81003 984 947 $3K
81025 526 506 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 31 31 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 70 67 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 29 29 $731.01
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 15 $609.50
90715 12 12 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 389 371 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 61 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 146 143 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 641 623 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 86 84 $0.00