Pinnacle Dermatology, SC

Pinnacle Dermatology, SC was paid $7.19M by Medicaid between Jul 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoPINNACLE DERMATOLOGY, SC
JOLIET, IL 60435

33aNPI1861930984assigned 02/09/2017

33bProvider typePlastic Surgery Physician

28Total paid$7.19M

24GClaims174,555

24DCodes billed38

24AFirst – last monthJul 2018 – Dec 2024

Compared with peers

Next to other Plastic Surgery Physician providers in Illinois

Rank by total paid#1 of 33

Median peer was paid$6K

This provider vs. median1,214×

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	41	$0.00
2019	269	$8K
2020	28,922	$831K
2021	49,528	$1.83M
2022	27,878	$1.12M
2023	32,893	$1.51M
2024incomplete	35,024	$1.89M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	53,262	46,849	$1.95M
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	20%	21,668	19,897	$1.42M
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%	17,202	16,259	$942K
17110		9.6%	13,559	11,420	$691K
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	7.6%	5,805	5,574	$544K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.7%	7,445	6,877	$266K
11102		3.7%	5,862	5,357	$263K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	7,109	6,546	$187K
88305	Level IV - Surgical pathology, gross and microscopic examination	2.5%	8,885	6,692	$179K
11900		2.2%	6,301	5,819	$156K
10040		1.9%	2,590	2,483	$139K
11104		1.3%	1,289	1,228	$92K

26 more codes

17311		<1%	416	$61K
11901		<1%	1,562	$50K
17000		<1%	2,079	$48K
12032		<1%	260	$43K
11103		<1%	912	$34K
11200		<1%	1,261	$32K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	9,417	$15K
81025		<1%	2,205	$14K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,631	$13K
11105		<1%	249	$10K
96900		<1%	807	$10K
17003		<1%	906	$9K
11301		<1%	73	$4K
88312		<1%	81	$3K
36415	Collection of venous blood by venipuncture	<1%	1,053	$3K
12031		<1%	17	$2K
88304		<1%	116	$1K
11300		<1%	34	$1K
17360		<1%	38	$1K
11402		<1%	25	$1K
99201		<1%	47	$961.24
17111		<1%	13	$891.74
11401		<1%	12	$554.59
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	35	$421.46
A4550	Surgical trays	0%	77	$0.00
J3590	Unclassified biologics	0%	252	$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 officialRIOS, JOSE (VICE-PRESIDENT)