Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pinnacle Medical Systems,inc (NPI 1396862975)

Field	Value
Entity Type	Organization
Organization	Pinnacle Medical Systems,inc
Address	8323 Southwest Fwy
City	Houston
State	TX
ZIP	77074
Taxonomy	Nursing Care Agency
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	169,800	$60	$10M
T2026	Specialized childcare, waiver; per diem	19,100	$220	$4.2M
H2032	Activity therapy, per 15 minutes	4,920	$220	$1.1M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	6,050	$100	$598.8K
G0648	N/A	17,010	$20	$255.1K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	1,520	$90	$139.6K
T1005	Respite care services, up to 15 minutes	2,770	$40	$107.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Pinnacle Medical Systems,inc — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	27	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	398	1,680	50,290	$60	$9.5M
H2032	Activity therapy, per 15 minutes	21	50	3,520	$170	$2.6M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	16	40	3,120	$100	$2.3M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	19	30	2,990	$90	$1.2M
T1005	Respite care services, up to 15 minutes	409	560	8,490	$50	$842.3K
G0648	N/A	12	30	9,580	$10	$756.3K

Nearby Providers

Other providers in the same ZIP code as Pinnacle Medical Systems,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Harris Center For Mental Health And Idd	TX	Community/Behavioral Health Agency	$0	$69.5M
Beneficient Inc	TX	Personal Care Attendant	$0	$52.7M
Resource Health Services Inc	TX	Home Health Agency	$0	$32.4M
Kids Dc, LLC	TX	Rehabilitation Clinic/Center	$0	$24.5M
Pauline Igwe	TX	Home Health Agency	$0	$21.5M
Meridian Living Center, Inc	TX	Intellectual Disabilities Intermediate Care Facility	$0	$19.2M
P C Chollett LLC	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.1M
Houston Circle Of Hope Services	TX	Case Management Agency	$0	$14.7M
Emmaco Home Health Services, Inc	TX	Home Health Agency	$0	$13M
Angels That Work For Quality Services Inc.	TX	Respite Care	$0	$10.9M

Pinnacle Medical Systems,inc — Billing Profile & Reimbursement Data

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Pinnacle Medical Systems,inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References