Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPMC PINNACLE HOSPITALS

NPI: 1922425651 · MECHANICSBURG, PA 17050 · Ambulatory Surgical Clinic/Center · NPI assigned 03/19/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more

$1K
Total Medicaid Paid
13,325
Total Claims
10,722
Beneficiaries
17
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (PRESIDENT AND CEO)
NPI Enumeration Date03/19/2014

Related Entities

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 29 $7.10
2021 2,080 $1K
2022 2,102 $0.00
2023 4,279 $0.00
2024 4,835 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 53 51 $779.78
J2704 Injection, propofol, 10 mg 2,051 1,697 $188.86
J0690 Injection, cefazolin sodium, 500 mg 719 599 $145.49
J3010 Injection, fentanyl citrate, 0.1 mg 2,346 1,611 $92.66
84703 27 24 $61.92
J3490 Unclassified drugs 1,742 1,204 $58.12
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,774 1,433 $37.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,483 1,333 $25.73
J2250 Injection, midazolam hydrochloride, per 1 mg 1,590 1,451 $24.85
J1885 Injection, ketorolac tromethamine, per 15 mg 679 578 $0.73
J1170 Injection, hydromorphone, up to 4 mg 238 186 $0.00
A4215 Needle, sterile, any size, each 12 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 131 111 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 291 254 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 142 137 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 26 24 $0.00
J1171 Injection, hydromorphone, 0.1 mg 21 17 $0.00