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PINNACLE MEDICAL SOLUTIONS, LLC

Durable Medical Equipment & Medical Supplies·SOUTHAVEN, MS·NPI: 1770512501Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $74.4M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$74.4M

$74,442,733

Total Claims

303K

Beneficiaries

230K

1.3 claims/patient

Avg Cost/Claim

$245

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+153%
2019
$10.0M
+42%
2020
$14.2M
+18%
2021
$16.8M
-3%
2022
$16.3M
-42%
2023
$9.5M
-63%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 50% of total spending.

A9276Normal range

Breath test analyzer, FDA approved, disposable

$37.4M

105K claims · 50.2%

Your Cost: $356.63/claim|Median: $294.58
1.2× median
A9277Normal range

Breath alcohol test, per administration

$11.0M

27K claims · 14.7%

Your Cost: $401.93/claim|Median: $407.76
1.0× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$6.8M

18K claims · 9.2%

Your Cost: $384.10/claim|Median: $466.16
0.8× median
A4222Top 5%

$6.5M

13K claims · 8.7%

Your Cost: $502.86/claim|Median: $62.70
8.0× median
E0784Normal range

External ambulatory infusion pump, insulin

$3.8M

3,023 claims · 5.2%

Your Cost: $1,268.25/claim|Median: $1,188.30
1.1× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$2.9M

23K claims · 3.9%

Your Cost: $129.61/claim|Median: $136.09
1.0× median
A9278Normal range

$1.6M

4,218 claims · 2.1%

Your Cost: $370.90/claim|Median: $366.50
1.0× median
A4253Top 5%

Blood glucose test strips

$1.0M

16K claims · 1.4%

Your Cost: $66.02/claim|Median: $6.92
9.5× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$889K

16K claims · 1.2%

Your Cost: $54.06/claim|Median: $53.20
1.0× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$827K

15K claims · 1.1%

Your Cost: $55.56/claim|Median: $73.75
0.8× median
A6257Top 5%

$591K

6,834 claims · 0.8%

Your Cost: $86.48/claim|Median: $10.48
8.3× median
A4232Normal range

$211K

14K claims · 0.3%

Your Cost: $14.64/claim|Median: $34.49
0.4× median
A4231Top 25%

$200K

1,563 claims · 0.3%

Your Cost: $127.98/claim|Median: $93.81
1.4× median
K0552Normal range

$147K

5,866 claims · 0.2%

Your Cost: $25.13/claim|Median: $19.78
1.3× median
K0554Normal range

$121K

1,562 claims · 0.2%

Your Cost: $77.42/claim|Median: $77.38
1.0× median
S8490Normal range

$98K

3,922 claims · 0.1%

Your Cost: $25.10/claim|Median: $22.06
1.1× median
A5120Normal range

$84K

10K claims · 0.1%

Your Cost: $8.01/claim|Median: $6.35
1.3× median
A4259Top 10%

Lancets for blood glucose testing

$74K

6,514 claims · 0.1%

Your Cost: $11.43/claim|Median: $2.27
5.0× median
A4225Normal range

$68K

2,926 claims · 0.1%

Your Cost: $23.12/claim|Median: $22.71
1.0× median
A9900Top 5%

$26K

44 claims · 0.0%

Your Cost: $597.44/claim|Median: $58.14
10.3× median
E2103Normal range

$23K

303 claims · 0.0%

Your Cost: $76.62/claim|Median: $85.49
0.9× median
A4245Normal range

$19K

5,741 claims · 0.0%

Your Cost: $3.37/claim|Median: $2.33
1.4× median
A4456Normal range

$15K

1,847 claims · 0.0%

Your Cost: $8.09/claim|Median: $6.74
1.2× median
A4250Normal range

$11K

966 claims · 0.0%

Your Cost: $11.37/claim|Median: $4.46
2.5× median
A4224Normal range

$9K

262 claims · 0.0%

Your Cost: $32.85/claim|Median: $33.51
1.0× median
A4206Top 25%

$5K

244 claims · 0.0%

Your Cost: $21.71/claim|Median: $1.96
11.1× median
E0607Top 10%

$808

13 claims · 0.0%

Your Cost: $62.16/claim|Median: $23.10
2.7× median
A4215Normal range

Sterile needle, each

$715

180 claims · 0.0%

Your Cost: $3.97/claim|Median: $20.71
0.2× median

Other Top Providers in Mississippi

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State of Mississippi - University of Mississippi Medical Center

General Acute Care Hospital

$506.7M

Mississippi Department of Rehabilitaion Svs

Case Management

$317.2M

Statewide Healthcare Services, INC

Home Health

$146.0M

Mississippi Department of Rehabilitaion Services

Case Management

$127.0M

Brandi's Hope Community Services

Day Training Developmentally Disabled Services

$124.6M

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$522.6M

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$504.0M

J&b Medical Supply CO INC

Wixom, MI

$339.0M

Home Care Delivered, Inc.

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$309.5M

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