Pinnacle Medical Solutions LLC
Pinnacle Medical Solutions LLC was paid $4.41M by Medicaid between Feb 2019 and Dec 2024, across 10 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 31% of everything it billed.
FLORENCE, AL 35630
Next to other Durable Medical Equipment & Medical Supplies providers in Alabama
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 | |
|---|---|---|---|
| 2019 | 767 | $245K | |
| 2020 | 2,485 | $898K | |
| 2021 | 6,633 | $1.26M | |
| 2022 | 4,802 | $1.07M | |
| 2023 | 3,077 | $722K | |
| 2024incomplete | 711 | $214K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 31% | 3,277 | 3,074 | $1.37M |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 25% | 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 | 22% | 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 | 12% | 1,244 | 1,149 | $523K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 6.3% | 2,282 | 1,691 | $279K |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 1.4% | 506 | 340 | $61K |
| A9278 | Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 1.2% | 275 | 135 | $52K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | <1% | 506 | 342 | $15K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 258 | 193 | $12K |
| E0784 | External ambulatory infusion pump, insulin | <1% | 18 | 12 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.