Physician
Pinnacle Family Medicine PLC
Pinnacle Family Medicine PLC was paid $1.64M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoPINNACLE FAMILY MEDICINE PLC
LITCHFIELD PARK, AZ 85340
LITCHFIELD PARK, AZ 85340
33aNPI1639208325assigned 03/06/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.64M
24GClaims40,692
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#53 of 442
Median peer was paid$77K
This provider vs. median21×
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.
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 | |
|---|---|---|---|
| 2018 | 7,058 | $246K | |
| 2019 | 6,718 | $236K | |
| 2020 | 6,094 | $260K | |
| 2021 | 5,012 | $232K | |
| 2022 | 6,073 | $248K | |
| 2023 | 5,711 | $233K | |
| 2024incomplete | 4,026 | $181K |
Box 24 · Service lines
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 | 96% | 26,722 | 24,567 | $1.58M |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 7,215 | 6,857 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 300 | 285 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 80 | 78 | $6K |
| 96127 | <1% | 1,300 | 1,106 | $5K | |
| 99000 | <1% | 2,967 | 2,584 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 204 | 202 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 377 | 267 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 47 | 46 | $3K |
| 90686 | <1% | 107 | 75 | $1K | |
| 90688 | <1% | 143 | 134 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $808.56 |
10 more codes
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 officialENGSTROM, DAVID (MEMBER)