Pinnacle Health Medical Services
Pinnacle Health Medical Services was paid $169K by Medicaid between Nov 2020 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
HANOVER, PA 17331
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 120 | $8K | |
| 2021 | 1,464 | $78K | |
| 2022 | 860 | $43K | |
| 2023 | 555 | $23K | |
| 2024incomplete | 347 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 68% | 2,224 | 2,058 | $114K |
| 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 | 27% | 654 | 622 | $45K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 57 | 47 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 300 | 297 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 16 | 14 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | 25 | $946.80 |
| 90715 | <1% | 14 | 14 | $227.49 | |
| 81025 | <1% | 14 | 13 | $64.32 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 30 | 30 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.