Pinnacle Treatment Centers Oh-Ix, LLC
Pinnacle Treatment Centers Oh-Ix, LLC was paid $7.54M by Medicaid between May 2020 and Dec 2024, across 17 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) — 84% of everything it billed.
TOLEDO, OH 43615
Next to other Methadone Clinic 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 | |
|---|---|---|---|
| 2020 | 362 | $641.75 | |
| 2021 | 104,297 | $1.80M | |
| 2022 | 29,224 | $2.06M | |
| 2023 | 25,272 | $1.92M | |
| 2024incomplete | 22,384 | $1.76M |
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) | 84% | 142,818 | 16,061 | $6.37M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.2% | 7,564 | 5,268 | $317K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 3.5% | 18,938 | 13,251 | $267K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 3,004 | 2,745 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,387 | 1,232 | $109K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 947 | 781 | $88K |
| 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) | 1.0% | 2,263 | 611 | $76K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,017 | 865 | $65K |
| 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% | 453 | 414 | $36K |
| H0006 | Alcohol and/or drug services; case management | <1% | 1,223 | 947 | $30K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 782 | 627 | $19K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 104 | 41 | $17K |
5 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 180 | $14K |
| T1002 | Rn services, up to 15 minutes | <1% | 408 | $11K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 108 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 75 | $555.27 |
| 36415 | Collection of venous blood by venipuncture | <1% | 268 | $511.00 |
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.