Physician
Pinnacle Medical Clinic, P.A.
Pinnacle Medical Clinic, P.A. was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 33% of everything it billed.
33Billing provider infoPINNACLE MEDICAL CLINIC, P.A.
CHARLOTTE, NC 28208
CHARLOTTE, NC 28208
33aNPI1891843967assigned 01/08/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.33M
24GClaims114,390
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#59 of 616
Median peer was paid$74K
This provider vs. median18×
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 | 10,520 | $185K | |
| 2019 | 9,544 | $216K | |
| 2020 | 7,324 | $193K | |
| 2021 | 12,219 | $183K | |
| 2022 | 22,744 | $211K | |
| 2023 | 18,630 | $94K | |
| 2024incomplete | 33,409 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 33% | 75,370 | 48,953 | $444K |
| 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 | 27% | 5,499 | 4,322 | $353K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 5,786 | 4,372 | $275K |
| 99442 | 3.8% | 1,346 | 988 | $50K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 447 | 362 | $37K |
| 81025 | 2.2% | 5,660 | 4,190 | $29K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 3,862 | 3,181 | $24K |
| 99443 | 1.2% | 307 | 245 | $16K | |
| 81002 | <1% | 6,720 | 5,219 | $12K | |
| 93000 | <1% | 943 | 797 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 885 | 746 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 851 | 352 | $9K |
32 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 102 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 59 | $8K |
| 99454 | <1% | 287 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 728 | $6K |
| 99401 | <1% | 170 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,943 | $5K |
| 99457 | <1% | 262 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 192 | $3K |
| 94010 | <1% | 128 | $2K | |
| 82947 | <1% | 710 | $2K | |
| 80305 | <1% | 183 | $2K | |
| 92567 | <1% | 103 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 76 | $1K |
| 99441 | <1% | 39 | $895.11 | |
| 99406 | <1% | 106 | $767.52 | |
| 99458 | <1% | 52 | $751.53 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | $535.77 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 69 | $455.73 |
| 99051 | <1% | 30 | $450.16 | |
| 99453 | <1% | 45 | $391.23 | |
| 99407 | <1% | 22 | $307.04 | |
| 96127 | <1% | 62 | $236.05 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $224.95 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17 | $59.43 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 36 | $40.20 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 17 | $0.06 |
| 92552 | <1% | 30 | $0.01 | |
| 1160F | 0% | 48 | $0.00 | |
| 99173 | 0% | 72 | $0.00 | |
| 3077F | 0% | 20 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 23 | $0.00 |
| 90686 | 0% | 14 | $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 officialBARCELO, JENNYFFER (ADMINISTRATOR)