Clinic
Pinnacle Medical Group, INC.
Pinnacle Medical Group, INC. was paid $18K by Medicaid between May 2019 and Jan 2022, across 7 billing codes. Its largest line is 0011A, — 35% of everything it billed.
33Billing provider infoPINNACLE MEDICAL GROUP, INC.
SALINAS, CA 93907
SALINAS, CA 93907
33aNPI1669557930assigned 10/26/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$18K
24GClaims501
24DCodes billed7
24AFirst – last monthMay 2019 – Jan 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#222 of 284
Median peer was paid$147K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 32 | $288.00 | |
| 2021 | 447 | $16K | |
| 2022 | 22 | $880.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 35% | 188 | 188 | $6K | |
| 0012A | 20% | 92 | 92 | $4K | |
| 0002A | 17% | 76 | 76 | $3K | |
| 0001A | 14% | 61 | 61 | $2K | |
| 0013A | 8.9% | 39 | 39 | $2K | |
| 0003A | 3.0% | 13 | 13 | $520.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 32 | 27 | $288.00 |
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 officialALVERO, ERNESTO (C.E.O.)