Physician
Pinnacle Ent & Allergy Consultants LLC
Pinnacle Ent & Allergy Consultants LLC was paid $4.83M by Medicaid between Oct 2019 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoPINNACLE ENT & ALLERGY CONSULTANTS LLC
PHOENIX, AZ 85053
PHOENIX, AZ 85053
33aNPI1811555014assigned 06/03/2019
33bProvider typeFacial Plastic Surgery Physician
28Total paid$4.83M
24GClaims106,794
24DCodes billed41
24AFirst – last monthOct 2019 – Dec 2024
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 | 4,195 | $153K | |
| 2020 | 21,005 | $869K | |
| 2021 | 23,021 | $970K | |
| 2022 | 24,034 | $1.12M | |
| 2023 | 19,386 | $971K | |
| 2024incomplete | 15,153 | $748K |
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 | 15% | 15,247 | 13,993 | $738K |
| 31231 | 14% | 4,553 | 4,167 | $679K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 9.6% | 2,784 | 2,454 | $462K |
| 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 | 7.7% | 5,400 | 4,958 | $373K |
| 99243 | 7.1% | 3,501 | 3,426 | $343K | |
| 92557 | 6.0% | 9,616 | 8,965 | $289K | |
| 31575 | 4.8% | 2,612 | 2,455 | $234K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.6% | 1,584 | 1,535 | $222K |
| 95117 | 3.5% | 20,324 | 7,028 | $171K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.5% | 1,447 | 1,408 | $171K |
| 92567 | 3.4% | 12,389 | 11,532 | $162K | |
| 30140 | 3.2% | 1,093 | 1,007 | $155K |
29 more codes
| 92579 | 2.5% | 2,845 | $121K | |
| 99203 | Doctor's office visit, new patient (routine) | 2.0% | 1,979 | $98K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 1.5% | 1,845 | $71K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 877 | $69K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.4% | 438 | $69K |
| 70486 | 1.4% | 800 | $67K | |
| 95115 | <1% | 6,911 | $42K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 184 | $41K |
| 92588 | <1% | 1,393 | $40K | |
| 30520 | <1% | 96 | $34K | |
| 30930 | <1% | 811 | $33K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,123 | $24K |
| 42830 | <1% | 143 | $23K | |
| 31237 | <1% | 69 | $22K | |
| 95024 | <1% | 88 | $16K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,213 | $15K |
| 92558 | <1% | 1,430 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 316 | $9K |
| 69610 | <1% | 27 | $9K | |
| 30465 | <1% | 13 | $8K | |
| 30903 | <1% | 31 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $231.49 |
| 69210 | <1% | 29 | $7.96 | |
| 99024 | 0% | 1,241 | $0.00 | |
| 1036F | 0% | 88 | $0.00 | |
| 1123F | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 99 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 17 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 105 | $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 officialRIZZO, BRIAN (PRESIDENT/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| West Valley Ear Nose and Throat PC | Phoenix, AZ | $1.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.