Medicaid Provider Spending

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

PINNACLE HEALTH MANAGEMENT, LLP

NPI: 1952319733 · HANOVER, MA 02339 · Geriatric Psychiatry Physician · NPI assigned 08/04/2006

$391K
Total Medicaid Paid
41,789
Total Claims
29,522
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHILLIPS, GARY (MANAGING PARTNER)
NPI Enumeration Date08/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,920 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 18,577 8,304 $201K
99309 Subsequent nursing facility care, per day, low to moderate complexity 14,653 13,690 $141K
99310 Prolong nursin fac eval 15m 1,281 1,131 $22K
99306 Prolong nursin fac eval 15m 326 326 $9K
99308 Subsequent nursing facility care, per day, straightforward 1,227 1,183 $8K
90832 Psychotherapy, 30 minutes with patient 889 612 $6K
90837 Psychotherapy, 53 minutes with patient 156 154 $4K
90791 Psychiatric diagnostic evaluation 13 12 $1.77
1036F 895 806 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 221 204 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 674 611 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,024 886 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 510 426 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,032 897 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 233 203 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 25 25 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 14 13 $0.00
G8421 Bmi not documented and no reason is given 25 25 $0.00