Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1932143427 · HARRISBURG, PA 17104 · 208000000X

$14.03M
Total Medicaid Paid
320,921
Total Claims
295,084
Beneficiaries
160
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,999 $120K
2019 3,529 $212K
2020 16,984 $742K
2021 126,770 $5.72M
2022 131,488 $5.31M
2023 36,598 $1.64M
2024 3,553 $287K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 82,952 78,027 $5.19M
99213 76,276 70,823 $3.43M
76816 5,491 5,179 $472K
99232 8,990 2,819 $421K
99392 4,430 4,395 $401K
99391 3,521 3,324 $307K
76811 1,447 1,428 $302K
99212 7,409 6,884 $302K
99393 3,184 3,109 $296K
76819 3,023 2,245 $289K
99203 3,552 3,488 $243K
99204 1,431 1,401 $146K
99394 1,507 1,471 $146K
H0004 Alcohol and/or drug services 1,248 716 $121K
99244 759 757 $112K
99254 1,646 1,593 $101K
87426 2,593 2,526 $101K
80305 6,408 5,378 $84K
90460 1,954 1,831 $75K
99215 Prolong outpt/office vis 797 702 $71K
T1016 Case management 512 357 $70K
J7307 Etonogestrel implant system 127 125 $65K
99291 405 168 $61K
96372 5,223 4,892 $61K
95886 623 451 $56K
99205 Prolong outpt/office vis 326 326 $47K
90715 3,249 3,106 $45K
95810 495 487 $44K
76818 344 231 $43K
87635 848 835 $38K
76820 740 532 $35K
90682 1,955 1,920 $32K
20610 1,128 776 $32K
99202 631 606 $31K
90837 246 136 $31K
87880 3,584 3,508 $28K
99395 827 823 $27K
92551 7,116 6,940 $26K
T1001 Nursing assessment/evaluatn 154 154 $26K
90670 3,208 3,183 $24K
87428 2,186 2,141 $23K
90651 1,959 1,924 $22K
99243 233 232 $22K
99173 6,211 6,120 $21K
90686 1,823 1,790 $20K
90674 3,958 3,905 $19K
77067 220 216 $18K
90732 396 392 $17K
99222 160 155 $16K
87804 581 564 $15K
90461 546 542 $14K
95004 253 252 $14K
96110 2,909 2,328 $13K
99381 153 148 $13K
76805 137 136 $12K
J7298 Mirena, 52 mg 28 28 $12K
90648 1,888 1,873 $11K
0011A 389 387 $11K
90471 1,664 1,638 $11K
90734 1,494 1,467 $11K
99460 237 229 $10K
59025 433 257 $9K
81025 1,873 1,841 $9K
90723 1,470 1,465 $9K
90633 1,860 1,818 $9K
99238 403 396 $9K
J1050 Medroxyprogesterone acetate 234 230 $9K
81003 2,229 2,171 $8K
99051 344 324 $7K
96161 3,141 2,720 $7K
99309 141 95 $7K
99349 174 159 $7K
95251 193 193 $6K
90698 1,107 1,090 $6K
Q0091 Obtaining screen pap smear 620 619 $6K
99255 83 81 $6K
90681 919 919 $6K
T1028 Home environment assessment 181 134 $6K
99284 128 125 $5K
99285 114 110 $5K
76817 75 74 $5K
59430 82 79 $5K
31231 73 68 $5K
90710 1,031 1,014 $5K
99242 74 74 $5K
90696 914 886 $5K
99233 Prolong inpt eval add15 m 63 37 $5K
99245 26 26 $5K
90716 774 762 $4K
97597 124 78 $4K
90707 779 761 $4K
36415 3,810 3,641 $4K
87210 599 588 $4K
0012A 110 110 $4K
90746 86 85 $4K
90744 691 675 $4K
90680 697 692 $4K
96160 2,273 2,246 $4K
99231 146 98 $4K
J3301 Triamcinolone acet inj nos 1,111 1,079 $4K
95819 144 140 $3K
90700 607 586 $3K
43239 28 28 $3K
76815 41 34 $3K
86580 1,148 1,020 $3K
96127 1,441 1,423 $3K
99188 140 140 $3K
90472 164 164 $3K
64615 24 24 $2K
90750 89 89 $2K
11721 115 114 $2K
99462 72 56 $1K
99396 39 39 $1K
83036 178 178 $1K
94640 198 179 $1K
85018 641 636 $1K
0013A 37 37 $1K
99348 87 79 $1K
99239 12 12 $980.39
99253 29 29 $972.15
96040 431 425 $928.98
G0426 Inpt/ed teleconsult50 29 27 $922.10
41010 12 12 $848.07
87811 55 53 $832.34
0001A 30 30 $821.60
J1030 Methylprednisolone 40 mg inj 204 188 $670.27
99385 15 15 $608.36
73564 15 12 $577.59
36416 940 893 $562.27
73630 23 15 $466.80
90714 25 25 $440.14
J3420 Vitamin b12 injection 845 628 $410.27
97802 18 18 $369.05
S0020 Injection, bupivicaine hydro 204 190 $361.57
J1885 Ketorolac tromethamine inj 789 726 $357.71
88720 48 43 $317.02
93010 49 40 $307.85
94010 26 26 $291.04
73100 14 12 $278.97
0002A 15 15 $240.00
99050 18 17 $230.30
93000 15 14 $225.76
83655 2,242 2,209 $221.00
J0696 Ceftriaxone sodium injection 518 478 $171.34
94729 26 26 $167.62
99308 15 14 $165.52
94727 15 15 $156.56
94726 13 13 $140.90
94060 15 15 $120.46
80061 807 785 $109.20
82962 51 49 $107.40
90620 13 12 $79.00
J7620 Albuterol ipratrop non-comp 188 167 $2.14
J7613 Albuterol non-comp unit 80 78 $0.00
90619 190 186 $0.00
G8510 Scr dep neg, no plan reqd 97 97 $0.00
90677 217 169 $0.00
J1100 Dexamethasone sodium phos 369 362 $0.00
G9919 Scrn nd pos nd prov of rec 26 26 $0.00
G0427 Inpt/ed teleconsult70 16 13 $0.00