Medicaid Provider Spending

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

PINNACLE HEALTH REGIONAL PHYSICIANS

NPI: 1982124129 · LANCASTER, PA 17603 · Internal Medicine Physician · NPI assigned 06/20/2017

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

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

$301K
Total Medicaid Paid
8,178
Total Claims
7,409
Beneficiaries
16
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKLEY, CHRISTOPHER (SR VP, STRAT SVCS/GEN COUNSEL)
NPI Enumeration Date06/20/2017

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 $343K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 39 $1K
2023 4,605 $166K
2024 3,534 $135K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,594 4,172 $179K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,506 1,434 $91K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 566 368 $12K
80305 704 659 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 281 263 $4K
90674 193 191 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $894.00
90661 81 81 $769.80
90682 17 17 $370.48
90673 14 14 $350.00
92551 34 34 $316.80
99173 34 34 $237.60
36415 Collection of venous blood by venipuncture 88 79 $118.43
81025 26 25 $115.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 15 13 $41.48