Agency
Pinnacle Home Care, LLC
Pinnacle Home Care, LLC was paid $3.96M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is T1030, Nursing care, in the home, by registered nurse, per diem — 48% of everything it billed.
33Billing provider infoPINNACLE HOME CARE, LLC
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1942580659assigned 08/25/2011
33bProvider typeHome Health Agency
28Total paid$3.96M
24GClaims36,356
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Rhode Island
Rank by total paid#21 of 43
Median peer was paid$3.62M
This provider vs. median1.1×
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 | 2,144 | $251K | |
| 2019 | 7,091 | $835K | |
| 2020 | 3,135 | $361K | |
| 2021 | 4,048 | $434K | |
| 2022 | 5,685 | $588K | |
| 2023 | 3,912 | $408K | |
| 2024incomplete | 10,341 | $1.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 48% | 15,373 | 3,340 | $1.91M |
| T1031 | Nursing care, in the home, by licensed practical nurse, per diem | 20% | 8,018 | 1,847 | $805K |
| S9131 | Physical therapy; in the home, per diem | 20% | 8,246 | 1,713 | $776K |
| S9129 | Occupational therapy, in the home, per diem | 11% | 4,554 | 1,097 | $427K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 1.0% | 165 | 64 | $40K |
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 officialBISBANO, ORLANDO (PRESIDENT)