Pinnacle Treatment Centers Oh-I, LLC
Pinnacle Treatment Centers Oh-I, LLC was paid $990K by Medicaid between Dec 2018 and Oct 2021, across 15 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 35% of everything it billed.
ATHENS, OH 45701
Next to other 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 | |
|---|---|---|---|
| 2018 | 37 | $643.68 | |
| 2019 | 11,801 | $262K | |
| 2020 | 16,530 | $527K | |
| 2021 | 6,323 | $200K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 35% | 8,181 | 4,894 | $350K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,587 | 1,883 | $183K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 16% | 13,546 | 7,844 | $159K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 16% | 5,222 | 2,986 | $155K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 3.3% | 1,217 | 640 | $33K |
| H0006 | Alcohol and/or drug services; case management | 2.2% | 720 | 628 | $22K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.1% | 1,063 | 777 | $21K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 337 | 197 | $17K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.6% | 1,125 | 724 | $16K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.6% | 447 | 266 | $16K |
| 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% | 95 | 77 | $10K |
| H0001 | Alcohol and/or drug assessment | <1% | 85 | 85 | $6K |
3 more codes
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.