Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1922669050 · LEMOYNE, PA 17043 · Pediatric Neurodevelopmental Disabilities Physician · NPI assigned 06/28/2019

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

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

$38K
Total Medicaid Paid
541
Total Claims
536
Beneficiaries
4
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (PRESIDENT)
NPI Enumeration Date06/28/2019

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 55 $4K
2024 486 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 309 305 $19K
99244 Office or other outpatient consultation, moderate to high complexity 110 109 $14K
99215 Prolong outpt/office vis 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) 69 69 $171.75