Physician
Pinnacle Health Management, LLP
Pinnacle Health Management, LLP was paid $391K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 51% of everything it billed.
33Billing provider infoPINNACLE HEALTH MANAGEMENT, LLP
HANOVER, MA 02339
HANOVER, MA 02339
33aNPI1952319733assigned 08/04/2006
33bProvider typeGeriatric Psychiatry Physician
28Total paid$391K
24GClaims41,789
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Geriatric Psychiatry Physician providers in Massachusetts
Rank by total paid#2 of 6
Median peer was paid$6K
This provider vs. median63×
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 | 5,526 | $49K | |
| 2019 | 6,445 | $58K | |
| 2020 | 4,677 | $54K | |
| 2021 | 6,240 | $28K | |
| 2022 | 8,706 | $54K | |
| 2023 | 6,275 | $89K | |
| 2024incomplete | 3,920 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 51% | 18,577 | 8,304 | $201K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 36% | 14,653 | 13,690 | $141K |
| 99310 | Prolong nursin fac eval 15m | 5.7% | 1,281 | 1,131 | $22K |
| 99306 | Prolong nursin fac eval 15m | 2.4% | 326 | 326 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 1,227 | 1,183 | $8K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 889 | 612 | $6K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 156 | 154 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 13 | 12 | $1.77 |
| 1036F | 0% | 895 | 806 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 221 | 204 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 674 | 611 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 14 | 14 | $0.00 |
7 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,024 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 510 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,032 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 233 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 25 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 14 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 25 | $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 officialPHILLIPS, GARY (MANAGING PARTNER)