Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pinnacle Treatment Centers Pa-V, LLC

Pinnacle Treatment Centers Pa-V, LLC was paid $7.12M by Medicaid between May 2020 and Dec 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS PA-V, LLC
ALIQUIPPA, PA 15001
33aNPI1275765760assigned 08/17/2009
28Total paid$7.12M
24GClaims71,805
24DCodes billed6
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Pennsylvania

Rank by total paid#24 of 89
Median peer was paid$2.74M
This provider vs. median2.6×

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.

Entity ProliferationAuthorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20204,126$294K
202117,651$1.53M
202218,784$1.81M
202317,343$1.97M
2024incomplete13,901$1.53M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 62% 43,534 11,207 $4.39M
G9012 Other specified case management service not elsewhere classified 31% 8,268 8,266 $2.23M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.9% 5,207 3,214 $280K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 2.4% 13,649 1,962 $174K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 1,104 1,040 $50K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 43 40 $3K

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.

From NPPES

Who's on the registration

Authorized officialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
Same official

Other billing entities under TANIS, ROBYN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.