Pinnacle Family Services of North Carolina LLC
Pinnacle Family Services of North Carolina LLC was paid $39.19M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 49% of everything it billed.
RALEIGH, NC 27604
Next to other Mental Health Counselor providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 18,043 | $7.56M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 49% | 21,792 | 7,616 | $19.29M |
| S5145 | Foster care, therapeutic, child; per diem | 33% | 66,016 | 3,582 | $12.95M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 14% | 9,034 | 1,953 | $5.57M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.5% | 4,799 | 3,896 | $1.36M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 174 | 159 | $17K |
| 99443 | <1% | 51 | 50 | $3K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 20 | 19 | $307.74 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 50 | 20 | $0.00 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.