Medicaid Provider Spending

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

PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC

NPI: 1255708996 · CHARLOTTE, NC 28202 · Mental Health Counselor · NPI assigned 08/28/2015

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

92% of spending on code H2022 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$9.41M
Total Medicaid Paid
27,379
Total Claims
5,380
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTIN, PRESTON (CEO)
NPI Enumeration Date08/28/2015

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 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 4,183 $1.27M
2019 4,880 $1.33M
2020 4,922 $1.28M
2021 4,143 $1.12M
2022 1,956 $851K
2023 4,786 $2.15M
2024 2,509 $1.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 23,453 4,838 $8.65M
H2021 Community-based wrap-around services, per 15 minutes 3,894 510 $658K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 32 32 $96K