Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1851030373 · MECHANICSBURG, PA 17050 · Urgent Care Clinic/Center · NPI assigned 06/02/2022

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$775K
Total Medicaid Paid
13,510
Total Claims
13,077
Beneficiaries
15
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (PE MANAGER)
NPI Enumeration Date06/02/2022

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $887K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $557K
WELLSPAN MEDICAL GROUP YORK PA $501K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $375K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $90K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
WELLSPAN MEDICAL GROUP YORK PA $47K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 4,202 $248K
2024 9,308 $527K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 5,921 5,792 $433K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,392 4,227 $182K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,573 1,506 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 489 476 $32K
S9088 Services provided in an urgent care center (list in addition to code for service) 564 519 $17K
87428 151 146 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 41 41 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $1K
71046 Radiologic examination, chest; 2 views 27 27 $842.79
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 136 130 $832.81
81003 26 26 $80.60
81025 13 12 $62.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg 99 97 $1.10
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 50 50 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $0.00