Medicaid Provider Spending

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

PINNACLE HEALTH REGIONAL PHYSICIANS

NPI: 1992225197 · LANCASTER, PA 17601 · Sports Medicine (Family Medicine) Physician · NPI assigned 06/20/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$20K

Total Medicaid Paid

842

Total Claims

812

Beneficiaries

Codes Billed

2023-03

First Month

2024-10

Last Month

Authorized Official	GUARNESCHELLI, PHILIP (SENIOR VP)
NPI Enumeration Date	06/20/2017

Other providers sharing the same authorized official: GUARNESCHELLI, PHILIP

Provider	City	State	Total 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 MEDICAL SERVICES	LEMOYNE	PA	$12K
UPMC PINNACLE HOSPITALS	MECHANICSBURG	PA	$10K
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

Year	Claims	Total Paid
2023	426	$9K
2024	416	$11K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	322	314	$11K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	185	179	$8K
20610		37	26	$754.83
J1030	Injection, methylprednisolone acetate, 40 mg	67	64	$0.00
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	231	229	$0.00