Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Cincinnati › NPI 1043726797
Clinic

Pinnacle Treatment Centers Oh-Vi, LLC

Pinnacle Treatment Centers Oh-Vi, LLC was paid $7.22M by Medicaid between Oct 2020 and Dec 2024, across 17 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 80% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS OH-VI, LLC
CINCINNATI, OH 45238
33aNPI1043726797assigned 12/18/2017
33bProvider typeMethadone Clinic
28Total paid$7.22M
24GClaims93,655
24DCodes billed17
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in Ohio

Rank by total paid#6 of 31
Median peer was paid$2.66M
This provider vs. median2.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020489$2K
202231,974$2.32M
202335,214$2.62M
2024incomplete25,978$2.28M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 80% 52,915 12,805 $5.80M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.9% 5,941 4,547 $279K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 3.5% 10,367 357 $253K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 3.2% 1,809 506 $231K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 2.5% 12,887 10,346 $180K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.5% 1,145 919 $109K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.3% 1,424 1,253 $91K
H0006 Alcohol and/or drug services; case management 1.2% 1,839 1,303 $85K
H0038 Self-help/peer services, per 15 minutes <1% 2,039 1,424 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 931 817 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 397 371 $34K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,141 918 $27K
5 more codes
99203 Doctor's office visit, new patient (routine) <1% 160 $18K
90791 Psychiatric diagnostic evaluation <1% 125 $13K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 461 $5K
T1003 Lpn/lvn services, up to 15 minutes <1% 13 $254.10
36415 Collection of venous blood by venipuncture <1% 61 $115.90

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTANIS, ROBYN (EXECUTIVE DIRECTOR CONTRACT MGMT)
Parent organizationPINNACLE TREATMENT CENTERS OH-1, LLC
Same official

Other billing entities under TANIS, ROBYN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.