Pinnacle Health Abc LLC
Pinnacle Health Abc LLC was paid $27K by Medicaid between Jan 2018 and Jan 2022, across 5 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 41% of everything it billed.
MECHANICSBURG, PA 17050
Next to other Urgent Care Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 185 | $8K | |
| 2019 | 65 | $3K | |
| 2020 | 125 | $7K | |
| 2021 | 162 | $9K | |
| 2022 | 15 | $420.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 41% | 393 | 338 | $11K |
| 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 | 35% | 96 | 85 | $9K |
| S9083 | Global fee urgent care centers | 14% | 27 | 25 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 22 | 20 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 14 | 12 | $936.69 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.