Physician
Pinnacle Health Cardiovascular Institute INC
Pinnacle Health Cardiovascular Institute INC was paid $1.86M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 35% of everything it billed.
33Billing provider infoPINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC
WORMLEYSBURG, PA 17043
WORMLEYSBURG, PA 17043
33aNPI1952603342assigned 11/17/2010
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$1.86M
24GClaims101,675
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Cardiac Electrophysiology Physician providers in Pennsylvania
Rank by total paid#3 of 71
Median peer was paid$5K
This provider vs. median384×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more
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 | 2,547 | $14K | |
| 2019 | 2,160 | $11K | |
| 2020 | 4,621 | $72K | |
| 2021 | 24,462 | $500K | |
| 2022 | 23,063 | $420K | |
| 2023 | 23,591 | $408K | |
| 2024incomplete | 21,231 | $433K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 35% | 75,247 | 63,059 | $643K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 6,615 | 6,481 | $362K |
| 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 | 14% | 4,508 | 4,347 | $253K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.9% | 1,323 | 1,310 | $185K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 7.6% | 1,750 | 1,686 | $140K |
| 93000 | 6.6% | 5,644 | 5,567 | $122K | |
| 93320 | 2.4% | 1,754 | 1,687 | $45K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 748 | 742 | $29K |
| 99243 | <1% | 166 | 165 | $16K | |
| 93970 | <1% | 446 | 430 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 193 | 193 | $12K |
| 93325 | <1% | 2,300 | 2,190 | $12K |
8 more codes
| 93971 | <1% | 463 | $11K | |
| 93224 | <1% | 44 | $5K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 124 | $4K |
| 93298 | <1% | 150 | $3K | |
| 93296 | <1% | 115 | $2K | |
| 93016 | <1% | 29 | $612.44 | |
| 93018 | <1% | 29 | $402.92 | |
| 93356 | <1% | 27 | $33.09 |
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 officialWILKINSON, AMY (PE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Health Medical Services | Lancaster, PA | $887K |
| Pinnacle Health Medical Services | Mechanicsburg, PA | $775K |
| Pinnacle Health Medical Services | Harrisburg, PA | $557K |
| Wellspan Medical Group | York, PA | $501K |
| Pinnacle Health Medical Services | York, PA | $375K |
| Wellspan Medical Group | York, PA | $212K |
| Wellspan Medical Group | York, PA | $150K |
| Wellspan Medical Group | Aspers, PA | $138K |
| Wellspan Medical Group | Gettysburg, PA | $90K |
| Wellspan Medical Group | Gettysburg, PA | $87K |
| Pinnacle Health Medical Services | Ephrata, PA | $79K |
| Pinnacle Health Medical Services | Harrisburg, PA | $69K |
| Pinnacle Health Medical Services | Harrisburg, PA | $53K |
| Wellspan Medical Group | York, PA | $47K |
| Pinnacle Health Medical Services | York, PA | $37K |
| Pinnacle Health Medical Services | Lititz, PA | $29K |
| Pinnacle Health Medical Services | Carlisle, PA | $27K |
| Pinnacle Health Medical Services | Hummelstown, PA | $22K |
| Pinnacle Health Medical Services | Enola, PA | $19K |
| Pinnacle Health Medical Services | Harrisburg, PA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.