Physician
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $12K by Medicaid between Jul 2024 and Nov 2024, across 3 billing codes. Its largest line is 99243, — 55% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
LEMOYNE, PA 17043
LEMOYNE, PA 17043
33aNPI1851997027assigned 12/11/2020
33bProvider typeAllergy & Immunology Physician
28Total paid$12K
24GClaims175
24DCodes billed3
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Pennsylvania
Rank by total paid#33 of 45
Median peer was paid$46K
This provider vs. median0.3×
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 GUARNESCHELLI, PHILIP controls 15+ 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 | |
|---|---|---|---|
| 2024incomplete | 175 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 55% | 81 | 81 | $7K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 37% | 34 | 34 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 8.4% | 60 | 60 | $1K |
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 officialGUARNESCHELLI, PHILIP (SENIOR VP)
| Provider | Location | Paid |
|---|---|---|
| UPMC Hillman Cancer Center-Pinnacle | Camp Hill, PA | $246K |
| Pinnacle Health Medical Services | Lemoyne, PA | $156K |
| Pinnacle Health Medical Services | Lemoyne, PA | $38K |
| Pinnacle Health Medical Services | Harrisburg, PA | $38K |
| Pinnacle Health Regional Physicians | Lancaster, PA | $20K |
| UPMC Pinnacle Hospitals | Mechanicsburg, PA | $10K |
| UPMC Pinnacle Hospitals | Harrisburg, PA | $8K |
| Pinnacle Health Medical Services | Lemoyne, PA | $7K |
| Pinnacle Health Medical Services | Enola, PA | $3K |
| UPMC Pinnacle Hospitals | Harrisburg, PA | $2K |
| Pinnacle Health Medical Services | Hummelstown, PA | $2K |
| Pinnacle Health Medical Services | Lemoyne, PA | $2K |
| UPMC Pinnacle Hospitals | Mechanicsburg, PA | $1K |
| Pinnacle Health Medical Services | Lancaster, PA | $1K |
| Pinnacle Health Medical Services | York, PA | $510.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.