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

Pinnacle Health Regional Physicians

Pinnacle Health Regional Physicians was paid $4K by Medicaid between Jan 2024 and Aug 2024, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoPINNACLE HEALTH REGIONAL PHYSICIANS
LANCASTER, PA 17601
33aNPI1730609991assigned 06/20/2017
33bProvider typeRheumatology Physician
28Total paid$4K
24GClaims80
24DCodes billed1
24AFirst – last monthJan 2024 – Aug 2024
Compared with peers

Next to other Rheumatology Physician providers in Pennsylvania

Rank by total paid#43 of 77
Median peer was paid$7K
This provider vs. median0.6×

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$500$1.0K2018201920202021202220232024
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
2024incomplete80$4K
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 100% 80 79 $4K

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 (SR VP, STRAT SVCS/GEN COUNSEL)
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.