Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1629639752 · LEMOYNE, PA 17043 · Pediatrics Physician · NPI assigned 06/28/2019

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

Authorized official GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more

$156K
Total Medicaid Paid
2,124
Total Claims
2,057
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (PRESIDENT)
NPI Enumeration Date06/28/2019

Related Entities

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 432 $34K
2023 522 $35K
2024 1,170 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,465 1,407 $84K
99244 Office or other outpatient consultation, moderate to high complexity 419 415 $55K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 55 54 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 133 129 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 52 52 $5K