Physician
Pinnacle Internal Medicine PLLC
Pinnacle Internal Medicine PLLC was paid $45K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoPINNACLE INTERNAL MEDICINE PLLC
WINCHESTER, TN 37398
WINCHESTER, TN 37398
33aNPI1942480801assigned 11/08/2007
33bProvider typeInternal Medicine Physician
28Total paid$45K
24GClaims3,687
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#203 of 581
Median peer was paid$15K
This provider vs. median3.0×
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.
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 | |
|---|---|---|---|
| 2018 | 802 | $6K | |
| 2019 | 809 | $8K | |
| 2020 | 476 | $6K | |
| 2021 | 460 | $8K | |
| 2022 | 437 | $6K | |
| 2023 | 400 | $5K | |
| 2024incomplete | 303 | $6K |
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 | 86% | 2,409 | 1,877 | $38K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.6% | 1,006 | 772 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 184 | 135 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | 14 | $144.08 |
| 90674 | <1% | 26 | 23 | $126.27 | |
| G0008 | Administration of influenza virus vaccine | <1% | 25 | 22 | $47.68 |
| 99497 | 0% | 14 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialGAMMADA, EPHRAIM (OWNER)