Physician
Pinnacle Pain, LLC
Pinnacle Pain, LLC was paid $50K by Medicaid between Mar 2021 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoPINNACLE PAIN, LLC
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
33aNPI1740795061assigned 12/08/2017
33bProvider typeAnesthesiology Physician
28Total paid$50K
24GClaims1,479
24DCodes billed4
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Anesthesiology Physician providers in Pennsylvania
Rank by total paid#38 of 168
Median peer was paid$9K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2021 | 37 | $806.73 | |
| 2022 | 483 | $14K | |
| 2023 | 559 | $21K | |
| 2024incomplete | 400 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 89% | 1,432 | 1,369 | $45K |
| 64483 | 4.9% | 17 | 12 | $2K | |
| 64484 | 4.6% | 17 | 12 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 13 | 12 | $908.22 |
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 officialRATNER, ERIC (OWNER/MD)
Parent organizationPINNACLE PHYSICIANS GROUP LLC
| Provider | Location | Paid |
|---|---|---|
| Pain Management Physicians, LLC | Wyomissing, PA | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.