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The objective of this review was to determine whether Pinnacle Business Solutions, Inc.ís (Pinnacle) high-dollar Medicare payments to Louisiana Part B providers were appropriate. Twenty-nine of the thirty high-dollar payments that Pinnacle made to providers were appropriate. However, Pinnacle overpaid one provider $19,641 for the remaining payment. We recommended that Pinnacle recover the $19,641 overpayment and consider using the results of this audit in its provider education activities. Pinnacle agreed with the finding and recommendations.