Pinnacle Healthcare LLC

Pinnacle Healthcare LLC was paid $15K by Medicaid between Feb 2019 and Jun 2022, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 98% of everything it billed.

33Billing provider infoPINNACLE HEALTHCARE LLC
CROWN POINT, IN 46307

33aNPI1801969670assigned 11/17/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$15K

24GClaims303

24DCodes billed6

24AFirst – last monthFeb 2019 – Jun 2022

Compared with peers

Next to other General Acute Care Hospital providers in Indiana

Rank by total paid#64 of 69

Median peer was paid$9.76M

This provider vs. median0.0×

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
2019	182	$10K
2020	79	$4K
2022	42	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	98%	205	185	$14K
77067	Screening mammography, bilateral, including computer-aided detection	1.4%	13	13	$207.84
77080		<1%	13	13	$80.76
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	30	26	$43.54
J3010	Injection, fentanyl citrate, 0.1 mg	0%	21	14	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	0%	21	14	$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 officialBURMAN, B. (CEO)