Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS OH-VII, LLC

NPI: 1295382646 · ELYRIA, OH 44035 · Methadone Clinic · NPI assigned 08/21/2019

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

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

$1.64M
Total Medicaid Paid
26,515
Total Claims
9,077
Beneficiaries
19
Codes Billed
2022-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MANA)
Parent OrganizationPINNACLE TREATMENT CENTERS, INC.
NPI Enumeration Date08/21/2019

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
2022 17,758 $1.06M
2023 3,548 $193K
2024 5,209 $395K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 11,008 2,705 $1.12M
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 6,052 252 $151K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 955 282 $114K
90837 Psychotherapy, 53 minutes with patient 1,036 831 $88K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 4,338 2,845 $54K
90832 Psychotherapy, 30 minutes with patient 715 557 $33K
H0006 Alcohol and/or drug services; case management 776 556 $27K
90834 Psychotherapy, 45 minutes with patient 335 263 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 252 226 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 70 67 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83 81 $7K
H0038 Self-help/peer services, per 15 minutes 188 122 $6K
90853 Group psychotherapy (other than of a multiple-family group) 132 70 $4K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 193 12 $3K
90791 Psychiatric diagnostic evaluation 27 27 $2K
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) 271 97 $2K
T1002 Rn services, up to 15 minutes 12 12 $574.56
86580 28 28 $154.44
36415 Collection of venous blood by venipuncture 44 44 $93.95