UPMC Pinnacle Hospitals
UPMC Pinnacle Hospitals was paid $1K by Medicaid between Dec 2020 and Nov 2024, across 17 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 55% of everything it billed.
MECHANICSBURG, PA 17050
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
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 | |
|---|---|---|---|
| 2020 | 29 | $7.10 | |
| 2021 | 2,080 | $1K | |
| 2022 | 2,102 | $0.00 | |
| 2023 | 4,279 | $0.00 | |
| 2024incomplete | 4,835 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 55% | 53 | 51 | $779.78 |
| J2704 | Injection, propofol, 10 mg | 13% | 2,051 | 1,697 | $188.86 |
| J0690 | Injection, cefazolin sodium, 500 mg | 10% | 719 | 599 | $145.49 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 6.5% | 2,346 | 1,611 | $92.66 |
| 84703 | 4.4% | 27 | 24 | $61.92 | |
| J3490 | Unclassified drugs | 4.1% | 1,742 | 1,204 | $58.12 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 2.6% | 1,774 | 1,433 | $37.51 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1.8% | 1,483 | 1,333 | $25.73 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 1.8% | 1,590 | 1,451 | $24.85 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 679 | 578 | $0.73 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 238 | 186 | $0.00 |
| A4215 | Needle, sterile, any size, each | 0% | 12 | 12 | $0.00 |
5 more codes
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 131 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 291 | $0.00 |
| J0688 | Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg | 0% | 142 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 26 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 21 | $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 |
|---|---|---|
| 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 |
| Pinnacle Health Medical Services | Lemoyne, PA | $12K |
| 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 |
| 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.