Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Pinnacle DME, INC

Pinnacle DME, INC was paid $15K by Medicaid between Feb 2019 and Mar 2019, across 4 billing codes. Its largest line is L1851, Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf — 35% of everything it billed.

33Billing provider infoPINNACLE DME, INC
CLEARWATER, FL 33762
33aNPI1942718283assigned 01/22/2018
28Total paid$15K
24GClaims130
24DCodes billed4
24AFirst – last monthFeb 2019 – Mar 2019
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Florida

Rank by total paid#257 of 827
Median peer was paid$730.02
This provider vs. median20×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2019130$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L1851 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 35% 23 16 $5K
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 35% 31 28 $5K
L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment 24% 17 17 $3K
L2397 Addition to lower extremity orthosis, suspension sleeve 6.3% 59 34 $932.01

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 officialDAVIDSON, CHELSEA (OWNER)