Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH

NPI: 1316372899 · MAYFIELD, KY 42066 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 09/04/2013

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

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

$17.66M
Total Medicaid Paid
73,592
Total Claims
6,466
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date09/04/2013

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
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
PINNACLE TREATMENT CENTERS KY-1,LLC D/B/A RECOVERY WORKS GREENUP SOUTH SHORE KY $10.41M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,139 $3.29M
2019 12,034 $3.27M
2020 14,289 $3.19M
2021 15,073 $3.78M
2022 13,227 $3.21M
2023 3,830 $916K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 32,129 2,500 $8.70M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 17,817 1,464 $5.08M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 9,882 884 $1.62M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 10,671 1,101 $1.58M
H0009 Alcohol and/or drug services; acute detoxification (hospital inpatient) 1,013 213 $354K
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 441 37 $192K
H2036 Alcohol and/or other drug treatment program, per diem 275 26 $93K
H0038 Self-help/peer services, per 15 minutes 1,304 189 $27K
T2023 Targeted case management; per month 60 52 $16K