Medicaid Provider Spending

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

PINNACLE HEALTH ABC LLC

NPI: 1841726346 · MECHANICSBURG, PA 17050 · Urgent Care Clinic/Center · NPI assigned 05/04/2017

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

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$27K
Total Medicaid Paid
552
Total Claims
480
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date05/04/2017

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $1.08M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $343K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $108K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 185 $8K
2019 65 $3K
2020 125 $7K
2021 162 $9K
2022 15 $420.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9088 Services provided in an urgent care center (list in addition to code for service) 393 338 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 96 85 $9K
S9083 Global fee urgent care centers 27 25 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 22 20 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $936.69