Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Pinnacle Health Care LLC

Pinnacle Health Care LLC was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoPINNACLE HEALTH CARE LLC
YAKIMA, WA 98902
33aNPI1649271552assigned 08/02/2005
28Total paid$1.05M
24GClaims13,543
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Washington

Rank by total paid#31 of 233
Median peer was paid$1K
This provider vs. median751×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,758$118K
20192,332$167K
20202,234$143K
20212,780$199K
20221,890$177K
20231,604$156K
2024incomplete945$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 8,380 7,102 $365K
95810 Polysomnography; sleep staging with 4 or more additional parameters 32% 1,220 1,114 $337K
95811 16% 820 657 $173K
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 13% 1,713 1,568 $135K
95806 3.7% 742 424 $39K
99205 Prolong outpt/office vis <1% 12 12 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 15 12 $807.54
99072 0% 641 636 $0.00

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 officialDESHPANDE, ABHIJIT (OWNER)