Hospital
Pinnacle Regional Hospital, LLC
Pinnacle Regional Hospital, LLC was paid $2.32M by Medicaid between Jan 2018 and Dec 2019, across 11 billing codes. Its largest line is Y7506, — 53% of everything it billed.
33Billing provider infoPINNACLE REGIONAL HOSPITAL, LLC
BOONVILLE, MO 65233
BOONVILLE, MO 65233
33aNPI1730178864assigned 10/20/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.32M
24GClaims1,554
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other General Acute Care Hospital providers in Missouri
Rank by total paid#43 of 74
Median peer was paid$4.44M
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 1,041 | $2.21M | |
| 2019 | 513 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Y7506 | 53% | 329 | 290 | $1.22M | |
| X4006 | 40% | 41 | 29 | $929K | |
| X4011 | State-specific procedure code | 3.1% | 217 | 171 | $71K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.8% | 432 | 393 | $64K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 336 | 304 | $27K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 57 | 49 | $7K |
| 80053 | Comprehensive metabolic panel | <1% | 57 | 52 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16 | 12 | $569.21 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 20 | 12 | $248.46 |
| 43235 | 0% | 20 | 13 | $0.00 | |
| 43775 | 0% | 29 | 20 | $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 officialSKANES, JENNIFER (RHC MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Regional Hospital,llc | Boonville, MO | $360K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.