Hospital
Pinnacle Regional Hospital, INC.
Pinnacle Regional Hospital, INC. was paid $12.83M by Medicaid between Jan 2018 and Mar 2020, across 25 billing codes. Its largest line is Y7506, — 40% of everything it billed.
33Billing provider infoPINNACLE REGIONAL HOSPITAL, INC.
OVERLAND PARK, KS 66213
OVERLAND PARK, KS 66213
33aNPI1952629370assigned 05/10/2010
33bProvider typeGeneral Acute Care Hospital
28Total paid$12.83M
24GClaims10,312
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other General Acute Care Hospital providers in Kansas
Rank by total paid#3 of 48
Median peer was paid$461K
This provider vs. median28×
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 | 5,931 | $11.98M | |
| 2019 | 3,976 | $846K | |
| 2020 | 405 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Y7506 | 40% | 1,589 | 1,109 | $5.13M | |
| X4006 | 40% | 950 | 753 | $5.07M | |
| X4003 | 19% | 2,981 | 2,121 | $2.49M | |
| 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% | 1,588 | 1,169 | $79K |
| J3490 | Unclassified drugs | <1% | 617 | 242 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 429 | 363 | $13K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 87 | 74 | $11K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 449 | 414 | $6K |
| 72114 | <1% | 107 | 102 | $5K | |
| 43775 | <1% | 19 | 18 | $1K | |
| 62323 | <1% | 59 | 53 | $988.17 | |
| 72170 | <1% | 31 | 29 | $765.24 |
13 more codes
| 73562 | <1% | 17 | $426.58 | |
| 64493 | <1% | 44 | $225.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 840 | $22.51 |
| 36415 | Collection of venous blood by venipuncture | 0% | 96 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 40 | $0.00 |
| 64494 | 0% | 15 | $0.00 | |
| 93000 | 0% | 28 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 83 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 27 | $0.00 |
| 43235 | 0% | 45 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 131 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 27 | $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 officialDOWNEY, RODNEY (CFO)