Medicaid Provider Spending

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

PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC

NPI: 1003284852 · WINSTON SALEM, NC 27106 · Mental Health Counselor · NPI assigned 09/10/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code H2022 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MARTIN, PRESTON controls 11+ related entities in our dataset. Read more

$4.22M
Total Medicaid Paid
13,375
Total Claims
2,370
Beneficiaries
2
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTIN, PRESTON (CEO)
NPI Enumeration Date09/10/2015

Related Entities

Other providers sharing the same authorized official: MARTIN, PRESTON

ProviderCityStateTotal Paid
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC RALEIGH NC $39.19M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC RALEIGH NC $15.24M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC BURLINGTON NC $11.99M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC CHARLOTTE NC $9.41M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC GREENSBORO NC $5.98M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC WEST END NC $5.67M
PINNACLE FAMILY SERVICES OF NC LLC HICKORY NC $3.40M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC GASTONIA NC $1.73M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC GOLDSBORO NC $1.45M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC FAYETTEVILLE NC $1.35M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC WHITEVILLE NC $883K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,123 $312K
2019 2,367 $606K
2020 3,682 $950K
2021 3,292 $905K
2022 2,131 $797K
2023 503 $411K
2024 277 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 13,142 2,184 $4.15M
T1017 Targeted case management, each 15 minutes 233 186 $63K