Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Pinnacle Emergency Group PA

Pinnacle Emergency Group PA was paid $76K by Medicaid between Jan 2018 and Sep 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 65% of everything it billed.

33Billing provider infoPINNACLE EMERGENCY GROUP PA
CORPUS CHRISTI, TX 78410
33aNPI1982664801assigned 03/24/2006
28Total paid$76K
24GClaims2,334
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Medical Physician Assistant providers in Texas

Rank by total paid#17 of 41
Median peer was paid$39K
This provider vs. median1.9×

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.

Entity ProliferationAuthorized official PAWLOWSKI, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018483$8K
2019389$7K
20201,462$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 65% 1,297 1,273 $49K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 26% 418 414 $20K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.8% 167 165 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 452 421 $789.05

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 officialPAWLOWSKI, MICHAEL (PRESIDENT)
Same official

Other billing entities under PAWLOWSKI, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.