Pinnacle Treatment Centers Va-I, LLC
Pinnacle Treatment Centers Va-I, LLC was paid $15.63M by Medicaid between Mar 2018 and Dec 2024, across 17 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) — 44% of everything it billed.
FREDERICKSBURG, VA 22408
Next to other Community/Behavioral Health Agency providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 335,140 | $2.88M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 44% | 803,909 | 36,515 | $6.94M |
| S0109 | Methadone, oral, 5 mg | 25% | 935,529 | 33,474 | $3.85M |
| G9012 | Other specified case management service not elsewhere classified | 17% | 12,519 | 10,968 | $2.69M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 6.3% | 27,976 | 20,527 | $982K |
| 80305 | 4.6% | 78,359 | 31,679 | $721K | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 1.2% | 1,405 | 1,349 | $184K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | <1% | 9,414 | 425 | $142K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,076 | 985 | $33K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 1,291 | 456 | $21K |
| 81025 | <1% | 3,186 | 1,810 | $20K | |
| 82075 | <1% | 2,408 | 1,189 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 567 | 498 | $11K |
5 more codes
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | <1% | 678 | $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) | <1% | 613 | $4K |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 230 | $4K |
| 86580 | <1% | 694 | $3K | |
| 93000 | <1% | 35 | $238.85 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.