Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $156K by Medicaid between Mar 2022 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
LEMOYNE, PA 17043
Next to other Pediatrics Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 432 | $34K | |
| 2023 | 522 | $35K | |
| 2024incomplete | 1,170 | $87K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 1,465 | 1,407 | $84K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 35% | 419 | 415 | $55K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.4% | 55 | 54 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 133 | 129 | $5K |
| 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 | 3.2% | 52 | 52 | $5K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| UPMC Hillman Cancer Center-Pinnacle | Camp Hill, PA | $246K |
| Pinnacle Health Medical Services | Lemoyne, PA | $38K |
| Pinnacle Health Medical Services | Harrisburg, PA | $38K |
| Pinnacle Health Regional Physicians | Lancaster, PA | $20K |
| Pinnacle Health Medical Services | Lemoyne, PA | $12K |
| UPMC Pinnacle Hospitals | Mechanicsburg, PA | $10K |
| UPMC Pinnacle Hospitals | Harrisburg, PA | $8K |
| Pinnacle Health Medical Services | Lemoyne, PA | $7K |
| Pinnacle Health Medical Services | Enola, PA | $3K |
| UPMC Pinnacle Hospitals | Harrisburg, PA | $2K |
| Pinnacle Health Medical Services | Hummelstown, PA | $2K |
| Pinnacle Health Medical Services | Lemoyne, PA | $2K |
| UPMC Pinnacle Hospitals | Mechanicsburg, PA | $1K |
| Pinnacle Health Medical Services | Lancaster, PA | $1K |
| Pinnacle Health Medical Services | York, PA | $510.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.