Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1679290688 · HERSHEY, PA 17033 · Sports Medicine (Family Medicine) Physician · NPI assigned 10/21/2022

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
300
Total Claims
292
Beneficiaries
5
Codes Billed
2023-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (PE MANAGER)
NPI Enumeration Date10/21/2022

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $887K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $775K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $557K
WELLSPAN MEDICAL GROUP YORK PA $501K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $375K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $90K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
WELLSPAN MEDICAL GROUP YORK PA $47K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 96 $3K
2024 204 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 122 119 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80 79 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $753.01
11721 12 12 $140.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 71 68 $0.00