Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS VA-I, LLC

NPI: 1356854277 · FREDERICKSBURG, VA 22408 · Community/Behavioral Health Agency · NPI assigned 11/14/2017

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

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

$15.63M
Total Medicaid Paid
1,879,889
Total Claims
140,765
Beneficiaries
17
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date11/14/2017

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 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 35,478 $187K
2019 215,343 $1.68M
2020 275,386 $2.65M
2021 305,543 $2.69M
2022 359,810 $2.79M
2023 353,189 $2.75M
2024 335,140 $2.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 803,909 36,515 $6.94M
S0109 Methadone, oral, 5 mg 935,529 33,474 $3.85M
G9012 Other specified case management service not elsewhere classified 12,519 10,968 $2.69M
H0004 Behavioral health counseling and therapy, per 15 minutes 27,976 20,527 $982K
80305 78,359 31,679 $721K
H0014 Alcohol and/or drug services; ambulatory detoxification 1,405 1,349 $184K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 9,414 425 $142K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,076 985 $33K
H0005 Alcohol and/or drug services; group counseling by a clinician 1,291 456 $21K
81025 3,186 1,810 $20K
82075 2,408 1,189 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 567 498 $11K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 678 50 $6K
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) 613 182 $4K
J0575 Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine 230 13 $4K
86580 694 623 $3K
93000 35 22 $238.85