Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Pinnacle Health Medical Services

Pinnacle Health Medical Services was paid $6K by Medicaid between May 2024 and Oct 2024, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 37% of everything it billed.

33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
HANOVER, PA 17331
33aNPI1669072641assigned 10/28/2020
28Total paid$6K
24GClaims145
24DCodes billed3
24AFirst – last monthMay 2024 – Oct 2024
Compared with peers

Next to other Adult Health Nurse Practitioner providers in Pennsylvania

Rank by total paid#36 of 90
Median peer was paid$3K
This provider vs. median1.7×

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.

Entity ProliferationAuthorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2024incomplete145$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37% 36 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33% 63 62 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 46 45 $2K

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 officialMARKLEY, CHRISTOPHER (SENIOR VP)
Same official

Other billing entities under MARKLEY, CHRISTOPHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.