Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS PA-VII, LLC

NPI: 1346697794 · HANOVER, PA 17331 · Methadone Clinic · NPI assigned 05/16/2016

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

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

$5.72M
Total Medicaid Paid
110,749
Total Claims
22,954
Beneficiaries
8
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MANA)
Parent OrganizationPINNACLE TREATMENT CENTERS, INC.
NPI Enumeration Date05/16/2016

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
2020 9,835 $213K
2021 31,994 $1.16M
2022 34,966 $1.46M
2023 18,296 $1.56M
2024 15,658 $1.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 23,718 6,324 $2.61M
G9012 Other specified case management service not elsewhere classified 8,099 8,098 $2.10M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 73,155 3,944 $603K
90834 Psychotherapy, 45 minutes with patient 2,061 1,741 $175K
H0034 Medication training and support, per 15 minutes 1,641 1,249 $131K
90832 Psychotherapy, 30 minutes with patient 2,029 1,555 $89K
90792 Psychiatric diagnostic evaluation with medical services 33 31 $8K
90853 Group psychotherapy (other than of a multiple-family group) 13 12 $821.52