Medicaid Provider Spending

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

UPMC PINNACLE HOSPITALS

NPI: 1972613305 · MECHANICSBURG, PA 17050 · General Acute Care Hospital · NPI assigned 08/30/2006

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

Authorized official GUARNESCHELLI, PHILIP controls 15+ related entities in our dataset. Read more

$10K
Total Medicaid Paid
1,896
Total Claims
1,648
Beneficiaries
15
Codes Billed
2019-12
First Month
2023-08
Last Month

Provider Details

Authorized OfficialGUARNESCHELLI, PHILIP (PRESIDENT AND CEO)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

ProviderCityStateTotal Paid
UPMC HILLMAN CANCER CENTER-PINNACLE CAMP HILL PA $246K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $156K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $38K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $38K
PINNACLE HEALTH REGIONAL PHYSICIANS LANCASTER PA $20K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $12K
UPMC PINNACLE HOSPITALS HARRISBURG PA $8K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $7K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $3K
UPMC PINNACLE HOSPITALS HARRISBURG PA $2K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $2K
PINNACLE HEALTH MEDICAL SERVICES LEMOYNE PA $2K
UPMC PINNACLE HOSPITALS MECHANICSBURG PA $1K
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $1K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $510.10

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 72 $2K
2020 161 $6K
2021 531 $2K
2022 705 $0.00
2023 427 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 106 95 $7K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 19 18 $1K
96375 Therapeutic injection; each additional sequential IV push 43 25 $569.60
85025 Blood count; complete (CBC), automated, and automated differential WBC count 83 68 $338.34
J2704 Injection, propofol, 10 mg 390 341 $197.51
80053 Comprehensive metabolic panel 16 12 $128.59
J3010 Injection, fentanyl citrate, 0.1 mg 422 314 $77.06
80048 Basic metabolic panel (calcium, ionized) 12 12 $65.52
85027 12 12 $49.62
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $29.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg 174 172 $21.48
J3490 Unclassified drugs 99 97 $15.94
J2405 Injection, ondansetron hydrochloride, per 1 mg 247 212 $12.24
J2250 Injection, midazolam hydrochloride, per 1 mg 219 216 $8.26
J0690 Injection, cefazolin sodium, 500 mg 42 42 $0.00