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

Pinnacle Treatment Centers Oh-Iv, LLC

Pinnacle Treatment Centers Oh-Iv, LLC was paid $4.14M by Medicaid between Nov 2021 and Dec 2024, across 16 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) — 68% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS OH-IV, LLC
ZANESVILLE, OH 43701
33aNPI1336630482assigned 05/24/2018
33bProvider typeMethadone Clinic
28Total paid$4.14M
24GClaims65,030
24DCodes billed16
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in Ohio

Rank by total paid#9 of 31
Median peer was paid$2.66M
This provider vs. median1.6×

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$200K2018201920202021202220232024
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
202186$1K
202221,243$1.23M
202324,581$1.54M
2024incomplete19,120$1.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 68% 28,555 6,591 $2.80M
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 11% 17,192 600 $456K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 7.8% 1,637 715 $322K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.9% 3,456 2,452 $163K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 2.7% 7,871 5,560 $113K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 1,265 1,133 $103K
H0006 Alcohol and/or drug services; case management 1.5% 1,843 1,346 $63K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.2% 510 358 $49K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 510 422 $33K
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% 116 105 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 230 175 $12K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine <1% 263 13 $4K
4 more codes
H0038 Self-help/peer services, per 15 minutes <1% 112 $1K
T1003 Lpn/lvn services, up to 15 minutes <1% 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% 1,426 $47.85
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 15 $19.31

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

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