Medicaid Provider Spending

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

PINNACLE HEALTH MEDICAL SERVICES

NPI: 1962416693 · HARRISBURG, PA 17110 · Midwife · NPI assigned 07/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKLEY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$343K
Total Medicaid Paid
8,702
Total Claims
7,900
Beneficiaries
23
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SENIOR VP)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: MARKLEY, CHRISTOPHER

ProviderCityStateTotal Paid
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC HARRISBURG PA $14.24M
PINNACLE HEALTH HOSPITALIST SERVICES LLC HARRISBURG PA $1.40M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $1.08M
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $430K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $330K
PINNACLE HEALTH OBSERVATION SERVICES LLC HARRISBURG PA $307K
PINNACLE HEALTH MEDICAL SERVICES ANNVILLE PA $288K
PINNACLE HEALTH MEDICAL SERVICES MIDDLETOWN PA $138K
PINNACLE HEALTH REGIONAL PHYSICIANS YORK PA $128K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $108K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $92K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES NEWPORT PA $85K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $84K
PINNACLE HEALTH MEDICAL SERVICES WORMLEYSBURG PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $71K
PINNACLE HEALTH REGIONAL PHYSICIANS MANCHESTER PA $59K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $50K
PINNACLE HEALTH MEDICAL SERVICES DILLSBURG PA $47K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 4,608 $182K
2024 4,094 $161K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,696 4,120 $225K
99232 Subsequent hospital care, per day, moderate complexity 366 296 $25K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 16 16 $22K
99222 Initial hospital care, per day, moderate complexity 131 121 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 209 197 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 690 680 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 320 305 $11K
99238 Hospital discharge day management, 30 minutes or less 126 122 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 107 98 $5K
81025 463 453 $2K
87210 202 193 $1K
54150 13 13 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 46 46 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 103 102 $763.89
36415 Collection of venous blood by venipuncture 943 909 $489.09
0502F 39 26 $390.00
96127 52 52 $263.10
81003 14 13 $44.64
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00
90674 30 25 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $0.00
90715 96 73 $0.00
90661 13 13 $0.00