GEORGETOWN MEDICAL, LLC

NPI: 1063824381 · GEORGETOWN, KY 40324 · Methadone Clinic · NPI assigned 05/21/2014

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

93% of spending on code H0020 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more

$3.88M

Total Medicaid Paid

37,403

Total Claims

9,844

Beneficiaries

Codes Billed

2022-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	TANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date	05/21/2014

Other providers sharing the same authorized official: TANIS, ROBYN

Provider	City	State	Total Paid
PINNACLE TREATMENT CENTERS OH-I, LLC	COLUMBUS	OH	$95.47M
PINNACLETREATMENT CENTERS IN-1, LLC	CAMBRIDGE CITY	IN	$62.48M
PINNACLE TREATMENT CENTERS NJ-III, LLC	PENNSAUKEN	NJ	$56.33M
PINNACLE TREATMENT CENTERS IN-1, LLC D/B/A RECOVERY WORKS MERRILLVILLE	MERRILLVILLE	IN	$43.07M
PINNACLE TREATMENT CENTERS KY-1, LLC	ELIZABETHTOWN	KY	$33.62M
PINNACLE TREATMENT CENTERS KY-I, LLC	LONDON	KY	$33.44M
PINNACLE TREATMENT CENTERS KY-I, LLC	GEORGETOWN	KY	$30.87M
PULASKI MEDICAL, LLC	PULASKI	VA	$28.41M
NKY MED, LLC	COVINGTON	KY	$24.36M
PINNACLE TREATMENT CENTERS KY-1, LLC D/B/A RECOVERY WORKS GREENUP	SOUTH SHORE	KY	$23.45M
PINNACLE TREATMENT CENTERS KY-I, LLC	GEORGETOWN	KY	$23.37M
LEESBURG TREATMENT SERVICES, LLC	NORTH CHESTERFIELD	VA	$22.29M
PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH	MAYFIELD	KY	$17.66M
PENNSYLVANIA CARE, LLC	ASHLEY	PA	$16.60M
PINNACLE TREATMENT CENTERS VA-I, LLC	RICHMOND	VA	$16.40M
PINNACLE TREATMENT CENTERS VA-I, LLC	FREDERICKSBURG	VA	$15.63M
PINNACLE TREATMENT SERVICES OF ROANOKE, LLC	ROANOKE	VA	$14.22M
PINNACLE TREATMENT CENTERS PA-III, LLC	JOHNSTOWN	PA	$13.40M
PINNACLE TREATMENT CENTERS NJ III LLC	VINELAND	NJ	$10.84M
OCEAN MONMOUTH CARE, LLC	BRICK	NJ	$10.80M

Code	Description	Claims	Beneficiaries	Total Paid
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	36,195	8,650	$3.62M
T2023	Targeted case management; per month	1,050	1,039	$259K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	158	155	$9K