Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS OH-IV, LLC

NPI: 1336630482 · ZANESVILLE, OH 43701 · Methadone Clinic · NPI assigned 05/24/2018

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

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

$4.14M
Total Medicaid Paid
65,030
Total Claims
20,098
Beneficiaries
16
Codes Billed
2021-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date05/24/2018

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
2021 86 $1K
2022 21,243 $1.23M
2023 24,581 $1.54M
2024 19,120 $1.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 28,555 6,591 $2.80M
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 17,192 600 $456K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 1,637 715 $322K
90832 Psychotherapy, 30 minutes with patient 3,456 2,452 $163K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 7,871 5,560 $113K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,265 1,133 $103K
H0006 Alcohol and/or drug services; case management 1,843 1,346 $63K
90837 Psychotherapy, 53 minutes with patient 510 358 $49K
90834 Psychotherapy, 45 minutes with patient 510 422 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 116 105 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 230 175 $12K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 263 13 $4K
H0038 Self-help/peer services, per 15 minutes 112 71 $1K
T1003 Lpn/lvn services, up to 15 minutes 29 29 $676.20
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) 1,426 516 $47.85
H0004 Behavioral health counseling and therapy, per 15 minutes 15 12 $19.31