Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS NJ-III, LLC

NPI: 1376712786 · PENNSAUKEN, NJ 08109 · Recovery Care Clinic/Center · NPI assigned 02/29/2008

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

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

$56.33M
Total Medicaid Paid
713,713
Total Claims
164,521
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR CONTRACT MGMT)
Parent OrganizationPINNACLE TREATMENT CENTERS INC
NPI Enumeration Date02/29/2008

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 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
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 137,978 $10.49M
2019 157,512 $12.20M
2020 184,587 $13.76M
2021 150,914 $11.84M
2022 33,367 $2.53M
2023 30,108 $3.00M
2024 19,247 $2.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 541,587 110,504 $39.03M
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) 90,640 25,094 $9.18M
H0033 Oral medication administration, direct observation 30,536 7,337 $5.33M
90834 Psychotherapy, 45 minutes with patient 6,559 2,597 $594K
T2022 Case management, per month 22,434 3,227 $561K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 2,895 527 $317K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 5,091 3,590 $284K
90832 Psychotherapy, 30 minutes with patient 3,760 3,031 $259K
G2068 Medication assisted treatment, buprenorphine (oral); 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) 882 274 $167K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,471 1,467 $131K
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 311 306 $113K
H0001 Alcohol and/or drug assessment 2,052 2,019 $107K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,810 1,556 $88K
90791 Psychiatric diagnostic evaluation 1,452 1,445 $82K
H0038 Self-help/peer services, per 15 minutes 1,176 851 $55K
S9475 Ambulatory setting substance abuse treatment or detoxification services, per diem 164 28 $18K
90853 Group psychotherapy (other than of a multiple-family group) 414 202 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 365 357 $2K
86580 114 109 $456.00