Clinic
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $775K by Medicaid between Jan 2023 and Dec 2024, across 15 billing codes. Its largest line is S9083, Global fee urgent care centers — 56% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
MECHANICSBURG, PA 17050
MECHANICSBURG, PA 17050
33aNPI1851030373assigned 06/02/2022
33bProvider typeUrgent Care Clinic/Center
28Total paid$775K
24GClaims13,510
24DCodes billed15
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Pennsylvania
Rank by total paid#40 of 68
Median peer was paid$914K
This provider vs. median0.8×
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.
Entity ProliferationAuthorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2023 | 4,202 | $248K | |
| 2024incomplete | 9,308 | $527K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 56% | 5,921 | 5,792 | $433K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 4,392 | 4,227 | $182K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 1,573 | 1,506 | $99K |
| 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 | 4.1% | 489 | 476 | $32K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 2.2% | 564 | 519 | $17K |
| 87428 | <1% | 151 | 146 | $5K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 41 | 41 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 15 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 27 | 27 | $842.79 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 136 | 130 | $832.81 |
| 81003 | <1% | 26 | 26 | $80.60 | |
| 81025 | <1% | 13 | 12 | $62.03 |
3 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 99 | $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 | 0% | 50 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $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 officialWILKINSON, AMY (PE MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.