Clinic
Pinnacle Treatment Centers Nj-Iii, LLC
Pinnacle Treatment Centers Nj-Iii, LLC was paid $56.33M by Medicaid between Jan 2018 and Dec 2024, across 19 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) — 69% of everything it billed.
33Billing provider infoPINNACLE TREATMENT CENTERS NJ-III, LLC
PENNSAUKEN, NJ 08109
PENNSAUKEN, NJ 08109
33aNPI1376712786assigned 02/29/2008
33bProvider typeRecovery Care Clinic/Center
28Total paid$56.33M
24GClaims713,713
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Recovery Care Clinic/Center providers in New Jersey
Rank by total paid#1 of 7
Median peer was paid$2.84M
This provider vs. median20×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 19,247 | $2.50M |
Box 24 · Service lines
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) | 69% | 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) | 16% | 90,640 | 25,094 | $9.18M |
| H0033 | Oral medication administration, direct observation | 9.5% | 30,536 | 7,337 | $5.33M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 6,559 | 2,597 | $594K |
| T2022 | Case management, per month | <1% | 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 | <1% | 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 | <1% | 5,091 | 3,590 | $284K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 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) | <1% | 882 | 274 | $167K |
| 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% | 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 | <1% | 311 | 306 | $113K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,052 | 2,019 | $107K |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,810 | $88K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,452 | $82K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,176 | $55K |
| S9475 | Ambulatory setting substance abuse treatment or detoxification services, per diem | <1% | 164 | $18K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 414 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 365 | $2K |
| 86580 | <1% | 114 | $456.00 |
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 CONTRACT MGMT)
Parent organizationPINNACLE TREATMENT CENTERS INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.