Medicaid Provider Spending

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

PINNACLE MEDICAL SOLUTIONS LLC

NPI: 1639678816 · FLORENCE, AL 35630 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/02/2018

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

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$4.41M
Total Medicaid Paid
18,475
Total Claims
14,194
Beneficiaries
10
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
Parent OrganizationPINNACLE MEDICAL SOLUTIONS LLC
NPI Enumeration Date02/02/2018

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 767 $245K
2020 2,485 $898K
2021 6,633 $1.26M
2022 4,802 $1.07M
2023 3,077 $722K
2024 711 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 3,277 3,074 $1.37M
A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories 3,587 2,514 $1.10M
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply 6,522 4,744 $992K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1,244 1,149 $523K
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 2,282 1,691 $279K
A4230 Infusion set for external insulin pump, non needle cannula type 506 340 $61K
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 275 135 $52K
A4232 Syringe with needle for external insulin pump, sterile, 3 cc 506 342 $15K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 258 193 $12K
E0784 External ambulatory infusion pump, insulin 18 12 $5K