Medicaid Provider Spending

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

PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC

NPI: 1205205309 · RALEIGH, NC 27604 · Mental Health Counselor · NPI assigned 09/18/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$39.19M
Total Medicaid Paid
101,936
Total Claims
17,295
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, PRESTON (COO)
NPI Enumeration Date09/18/2015

Related Entities

Other providers sharing the same authorized official: MARTIN, PRESTON

ProviderCityStateTotal Paid
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 NORTH CAROLINA LLC WINSTON SALEM NC $4.22M
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 23,350 $5.48M
2019 18,560 $5.13M
2020 6,801 $4.25M
2021 7,998 $5.09M
2022 10,022 $4.13M
2023 17,162 $7.55M
2024 18,043 $7.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 21,792 7,616 $19.29M
S5145 Foster care, therapeutic, child; per diem 66,016 3,582 $12.95M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 9,034 1,953 $5.57M
T1017 Targeted case management, each 15 minutes 4,799 3,896 $1.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 174 159 $17K
99443 51 50 $3K
90791 Psychiatric diagnostic evaluation 20 19 $307.74
90837 Psychotherapy, 53 minutes with patient 50 20 $0.00