Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Lancaster › NPI 1629507199
Physician

Pinnacle Health Regional Physicians

Pinnacle Health Regional Physicians was paid $25K by Medicaid between Sep 2021 and Nov 2024, across 3 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 75% of everything it billed.

33Billing provider infoPINNACLE HEALTH REGIONAL PHYSICIANS
LANCASTER, PA 17601
33aNPI1629507199assigned 06/08/2017
28Total paid$25K
24GClaims2,437
24DCodes billed3
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#100 of 592
Median peer was paid$3K
This provider vs. median8.1×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2021227$2K
2022727$9K
2023771$6K
2024incomplete712$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 75% 2,269 2,001 $19K
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 21% 102 102 $5K
93000 4.6% 66 64 $1K

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 (SR VP, STRAT SVCS/GEN COUNSEL)
Same official

Other billing entities under MARKLEY, CHRISTOPHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.