Supplier
Pinnacle Medical Solutions, LLC
Pinnacle Medical Solutions, LLC was paid $74.44M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is A9276, Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply — 50% of everything it billed.
33Billing provider infoPINNACLE MEDICAL SOLUTIONS, LLC
SOUTHAVEN, MS 38672
SOUTHAVEN, MS 38672
33aNPI1770512501assigned 07/02/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$74.44M
24GClaims303,404
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Mississippi
Rank by total paid#1 of 10
Median peer was paid$4.03M
This provider vs. median18×
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 RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
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 | 22,571 | $3.97M | |
| 2019 | 35,240 | $10.04M | |
| 2020 | 46,351 | $14.21M | |
| 2021 | 58,446 | $16.78M | |
| 2022 | 70,941 | $16.35M | |
| 2023 | 47,695 | $9.52M | |
| 2024incomplete | 22,160 | $3.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 50% | 104,764 | 72,271 | $37.36M |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 15% | 27,305 | 22,679 | $10.97M |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 9.2% | 17,817 | 13,456 | $6.84M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 8.7% | 12,863 | 10,248 | $6.47M |
| E0784 | External ambulatory infusion pump, insulin | 5.2% | 3,023 | 2,432 | $3.83M |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 3.9% | 22,587 | 15,867 | $2.93M |
| A9278 | Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 2.1% | 4,218 | 3,463 | $1.56M |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1.4% | 15,876 | 12,930 | $1.05M |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1.2% | 16,447 | 14,751 | $889K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1.1% | 14,883 | 11,492 | $827K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 6,834 | 5,330 | $591K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | <1% | 14,381 | 10,241 | $211K |
16 more codes
| A4231 | Infusion set for external insulin pump, needle type | <1% | 1,563 | $200K |
| K0552 | Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each | <1% | 5,866 | $147K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | <1% | 1,562 | $121K |
| S8490 | Insulin syringes (100 syringes, any size) | <1% | 3,922 | $98K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 10,453 | $84K |
| A4259 | Lancets, per box of 100 | <1% | 6,514 | $74K |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | <1% | 2,926 | $68K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 44 | $26K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | <1% | 303 | $23K |
| A4245 | Alcohol wipes, per box | <1% | 5,741 | $19K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 1,847 | $15K |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | <1% | 966 | $11K |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | <1% | 262 | $9K |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 244 | $5K |
| E0607 | Home blood glucose monitor | <1% | 13 | $808.05 |
| A4215 | Needle, sterile, any size, each | <1% | 180 | $715.00 |
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 officialRUSSALESI, WENDY (CCO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.