Physician
Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $38K by Medicaid between Nov 2023 and Dec 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPINNACLE HEALTH MEDICAL SERVICES
LEMOYNE, PA 17043
LEMOYNE, PA 17043
33aNPI1922669050assigned 06/28/2019
33bProvider typePediatric Neurodevelopmental Disabilities Physician
28Total paid$38K
24GClaims541
24DCodes billed4
24AFirst – last monthNov 2023 – Dec 2024
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 | |
|---|---|---|---|
| 2023 | 55 | $4K | |
| 2024incomplete | 486 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 309 | 305 | $19K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 38% | 110 | 109 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 53 | 53 | $5K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 69 | 69 | $171.75 |
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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| UPMC Hillman Cancer Center-Pinnacle | Camp Hill, PA | $246K |
| Pinnacle Health Medical Services | Lemoyne, PA | $156K |
| 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 |
| 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.