Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS OH-XVI, LLC

NPI: 1255942223 · ATHENS, OH 45701 · Recovery Care Clinic/Center · NPI assigned 08/13/2020

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

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

$5.15M
Total Medicaid Paid
94,328
Total Claims
19,760
Beneficiaries
18
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date08/13/2020

Related Entities

Other providers sharing the same authorized official: TANIS, ROBYN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 4,728 $162K
2022 24,257 $1.27M
2023 38,223 $2.07M
2024 27,120 $1.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 21,352 4,176 $1.76M
J0571 Buprenorphine, oral, 1 mg 19,573 714 $1.04M
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 4,793 2,010 $895K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 29,813 1,314 $825K
90832 Psychotherapy, 30 minutes with patient 4,388 3,145 $198K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,877 1,597 $153K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 7,848 5,201 $107K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 2,796 136 $86K
90834 Psychotherapy, 45 minutes with patient 626 514 $39K
90837 Psychotherapy, 53 minutes with patient 129 104 $12K
H0006 Alcohol and/or drug services; case management 574 431 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 74 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 104 80 $5K
90853 Group psychotherapy (other than of a multiple-family group) 149 110 $4K
T1003 Lpn/lvn services, up to 15 minutes 12 12 $315.56
86580 41 41 $200.20
36415 Collection of venous blood by venipuncture 53 51 $112.31
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) 123 50 $0.00