Pinnacle Treatment Centers Oh-Xvi, LLC
Pinnacle Treatment Centers Oh-Xvi, LLC was paid $5.15M by Medicaid between Jun 2021 and Dec 2024, across 18 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 34% of everything it billed.
ATHENS, OH 45701
Next to other Recovery Care Clinic/Center providers in Ohio
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 | |
|---|---|---|---|
| 2021 | 4,728 | $162K | |
| 2022 | 24,257 | $1.27M | |
| 2023 | 38,223 | $2.07M | |
| 2024incomplete | 27,120 | $1.64M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 34% | 21,352 | 4,176 | $1.76M |
| J0571 | Buprenorphine, oral, 1 mg | 20% | 19,573 | 714 | $1.04M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 17% | 4,793 | 2,010 | $895K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 16% | 29,813 | 1,314 | $825K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 4,388 | 3,145 | $198K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 1,877 | 1,597 | $153K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 2.1% | 7,848 | 5,201 | $107K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 1.7% | 2,796 | 136 | $86K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 626 | 514 | $39K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 129 | 104 | $12K |
| H0006 | Alcohol and/or drug services; case management | <1% | 574 | 431 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 77 | 74 | $8K |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 149 | $4K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 12 | $315.56 |
| 86580 | <1% | 41 | $200.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 53 | $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) | 0% | 123 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.