Medicaid Provider Spending

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

PINNACLE MEDICAL SOLUTIONS, LLC

NPI: 1770512501 · SOUTHAVEN, MS 38672 · Customized Equipment (DME) · NPI assigned 07/02/2006

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

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$74.44M
Total Medicaid Paid
303,404
Total Claims
230,127
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
NPI Enumeration Date07/02/2006

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 22,160 $3.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 104,764 72,271 $37.36M
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 27,305 22,679 $10.97M
A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories 17,817 13,456 $6.84M
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 12,863 10,248 $6.47M
E0784 External ambulatory infusion pump, insulin 3,023 2,432 $3.83M
A4230 Infusion set for external insulin pump, non needle cannula type 22,587 15,867 $2.93M
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 4,218 3,463 $1.56M
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 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 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 14,883 11,492 $827K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 6,834 5,330 $591K
A4232 Syringe with needle for external insulin pump, sterile, 3 cc 14,381 10,241 $211K
A4231 Infusion set for external insulin pump, needle type 1,563 1,176 $200K
K0552 Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each 5,866 5,008 $147K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system 1,562 1,266 $121K
S8490 Insulin syringes (100 syringes, any size) 3,922 3,292 $98K
A5120 Skin barrier, wipes or swabs, each 10,453 8,454 $84K
A4259 Lancets, per box of 100 6,514 5,510 $74K
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each 2,926 2,467 $68K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 44 31 $26K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver 303 225 $23K
A4245 Alcohol wipes, per box 5,741 4,742 $19K
A4456 Adhesive remover, wipes, any type, each 1,847 1,511 $15K
A4250 Urine test or reagent strips or tablets (100 tablets or strips) 966 745 $11K
A4224 Supplies for maintenance of insulin infusion catheter, per week 262 204 $9K
A4206 Syringe with needle, sterile, 1 cc or less, each 244 179 $5K
E0607 Home blood glucose monitor 13 12 $808.05
A4215 Needle, sterile, any size, each 180 145 $715.00