Pinnacle Health Facilities Xxiii LP
Pinnacle Health Facilities Xxiii LP was paid $985K by Medicaid between Jan 2018 and Feb 2023, across 25 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 43% of everything it billed.
SARASOTA, FL 34235
Next to other Skilled Nursing Facility providers in Florida
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 | 10,179 | $247K | |
| 2019 | 10,993 | $178K | |
| 2020 | 10,267 | $475K | |
| 2021 | 5,105 | $32K | |
| 2022 | 3,524 | $53K | |
| 2023 | 465 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 43% | 18,138 | 1,306 | $420K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 34% | 11,593 | 971 | $331K |
| 97535 | Self-care/home management training, each 15 minutes | 4.6% | 1,858 | 278 | $46K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 4.1% | 1,624 | 160 | $41K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.8% | 1,197 | 263 | $27K |
| 97116 | 2.7% | 1,347 | 193 | $27K | |
| 92526 | 1.7% | 1,136 | 94 | $17K | |
| 97129 | 1.6% | 328 | 30 | $16K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.4% | 1,498 | 185 | $14K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.2% | 371 | 210 | $12K |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 1.1% | 258 | 177 | $11K |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 354 | 214 | $9K |
13 more codes
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 191 | $9K |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 44 | $2K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 252 | $2K |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 19 | $1K |
| 97162 | <1% | 19 | $1K | |
| 97166 | <1% | 39 | $55.07 | |
| G0515 | Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes | <1% | 40 | $42.47 |
| G8997 | Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 51 | $0.00 |
| G8996 | Swallowing functional limitation, current status at therapy episode outset and at reporting intervals | 0% | 21 | $0.00 |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 49 | $0.00 |
| G8998 | Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 13 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 73 | $0.00 |
| 90686 | 0% | 20 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Health Facilities Xxiv LP | Panama City, FL | $481K |
| Pinnacle Health Facilities Xvi LP | Holyoke, CO | $321K |
| Pinnacle Health Facilities XXXV LP | Rose Hill, KS | $148K |
| Pinnacle Health Facilities Xxxiii LP | Las Cruces, NM | $18K |
| Pinnacle Health Facilities Xxxi L P | Boulder City, NV | $11K |
| Pinnacle Health Facilities Xvi LP | Holyoke, CO | $4K |
| Pinnacle Health Facilties Xvi, L.P. | Commerce City, CO | $3K |
| Hacienda Care Vi LP | Miami, FL | $0.00 |
| Pinnacle Health Facilities Xviii LP | Olathe, KS | $0.00 |
| Pinnacle Health Facilities Xviii LP | Salina, KS | $0.00 |
| Pinnacle Health Facilities Xviii LP | Bonner Springs, KS | $0.00 |
| Pinnacle Health Facilities Xviii LP | Gardner, KS | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.