Agency
Pinnacle Home Healthcare Services, INC
Pinnacle Home Healthcare Services, INC was paid $13.30M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T1502, Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit — 43% of everything it billed.
33Billing provider infoPINNACLE HOME HEALTHCARE SERVICES, INC
WORCESTER, MA 01605
WORCESTER, MA 01605
33aNPI1851719462assigned 04/01/2014
33bProvider typeHome Health Agency
28Total paid$13.30M
24GClaims278,889
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Massachusetts
Rank by total paid#63 of 299
Median peer was paid$2.39M
This provider vs. median5.6×
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.
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 | |
|---|---|---|---|
| 2018 | 57,093 | $3.05M | |
| 2019 | 51,435 | $2.29M | |
| 2020 | 46,840 | $1.71M | |
| 2021 | 34,435 | $1.30M | |
| 2022 | 33,512 | $1.26M | |
| 2023 | 30,658 | $1.93M | |
| 2024incomplete | 24,916 | $1.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 43% | 92,527 | 3,479 | $5.72M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 22% | 76,128 | 8,083 | $2.94M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 17% | 56,369 | 2,057 | $2.22M |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 16% | 46,973 | 3,611 | $2.18M |
| S5131 | Homemaker service, nos; per diem | 1.1% | 3,938 | 473 | $147K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 2,954 | 389 | $105K |
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 officialMWANGI, PAULINE (CEO)